Biomedical subjects

M Quesada Sabaté

Publications and source records attributed to M Quesada Sabaté.

4 recordsLinked to original sources

PubMed2003

[Prevalence of falls in the elderly living in the community].

OBJECTIVE: To calculate the prevalence of falls, linked factors and their consequences in elderly people >=70 in two communities, prior to an intervention study. DESIGNç Descriptive cross-sectional study. SETTING: 2 mixed urban-rural communities. PARTICIPANTS: Sample of people >=70, 329 in the intervention group (IG) and 372 in the control group (CG). Randomised and systematic sampling. MAIN MEASUREMENTS AND RESULTS: With a 95% confidence interval, we observed the differences between the IG (first) and the CG (second): men, 38.9% (33.6-44.4) and 41.6% (36.6-46.9); mean age, 80.11 (79.49-80.73) and 78.42 (77.77-79.07) years old; over 80, 41.9% (37.4-46.4) and 32.8% (29.5-36); high level of dependence on Katz index, 10.3% (9.2-11.4) and 13.2% (11.9-14.5); 28.9% (25.8-31.9) and 32% (28.8-35.2) had fallen in the preceding year; recurrent falls in people who had already fallen, 34.7% (25.2-45.2) and 37% (28.3-46.3); total number of falls, 166 and 218. Of the total number of falls, 45.4% (37.1-54) and 30.3% (24.3-36.8) required medical care; 7.3% (3.8-12.3) and 5% (2.5-8.8) needed hospital admission; and 10.4% (6-16.3) and 6.9% (3.9-11.2) presented fractures. Falls mainly occurred at home (61% and 56.5%); for reasons of their environment (40% and 54%) and mobility problems (37.5% and 36%). The most common lesions were cuts and bruises (86.1% and 77.9%). CONCLUSION: In both groups the prevalence of people who had fallen coincided with most other studies. Nor were there relevant differences concerning the main features of the falls and the lesions occasioned.

Accidental Falls↗

PubMed2002

[How can we improve mortality records in primary care?].

OBJECTIVE: To calculate whether the introduction for systematic use of an epicrisis form for deaths improved the quality of mortality records in a primary care centre (PCC). DESIGN: Before and after study. SETTING: Urban, with a population of 31 000. Patients and other participants. All the deaths recorded at the PCC before 1996 (N=396) and in the period from January 1999 to August 2000 (N=160). MAIN MEASUREMENTS AND RESULTS: The number of deaths recorded at the PCC represents only 32.5% of the official data obtained from the municipal registry in the 1996 evaluation, and 51.5% in the 2000 evaluation. In 2000 the epicrisis forms were filled out in 76.8% (95% CI, 65.0-88.6%) of all deaths. In the 1996 evaluation the place of death was not recorded in 65.5% (95% CI, 59.0-71.8%) of cases, but in 2000 this figure was 22.5% (95% CI, 19-26%). Undefined causes of death dropped from 37% (95% CI, 33.4-40.6%) in 1996 to 30.5% (95% CI, 25.8-35.2%) in 2000. Recording of cause of death rose from 64% (95% CI, 57.8-70.4%) in 1996 to 73% (95% CI, 61.8-84.4%) in 2000. CONCLUSIONS: Official data reveal under-recording of mortality at the PCC. The introduction of an epicrisis form for deaths has improved the quality of the centres mortality records.

Aged↗

PubMed2001

[Do we gain or lose information with computerisation?].

OBJECTIVE: To calculate the concordance of the computer record and the clinical history (CH) in preventive actions and health problems. DESIGN: Cross-sectional descriptive study. Quality evaluation. SETTING: Urban health centre with 31000 inhabitants. PATIENTS AND OTHER PARTICIPANTS: Randomised batch sample, with 14 cases for each of the 8 attendance base units with computerised records since 1997. N = 112. EXCLUSION CRITERIA: no visit later than January 1997 and absence of records in the CH or computer. MEASUREMENTS AND MAIN RESULTS: Through the checking of the records in the CH and computer, a mean concordance of 73.5 (95% CI, 66.8-80.2) for preventive actions and 93.5 for health problems (95% CI, 90.6-96.4) was found. There was a mean computer under-recording for health problems of 6.5% (95% CI, 3.62-9.32), and for preventive actions of 21% (95% CI, 9.1-33.3) only in those actions based on manual activity. However, in preventive actions based on verbal activity there was 14.3% mean CH under-recording (95% CI, 1.15-27.5). CONCLUSIONS: Concordance is not uniform, with under-recording for some parameters detected. This may affect the reliability and validity of health information in these records. We believe that the way data are collected determines this to a large extent. We suggest as corrective measures improving the training and incentives of health professionals, making computer programmes more appropriate to their purpose and standardising data collection in primary care CR.

Computer Systems↗

PubMed1998

[User satisfaction in primary care].

OBJECTIVES: To find user satisfaction and assess the usefulness of an analogue scale in measuring satisfaction. DESIGN: Multi-centre, descriptive and crossover study. SETTING: Four primary care centres in Girona. PARTICIPANTS: All those users who happened to attend on a certain day (n = 1349). MEASUREMENTS AND MAIN RESULTS: A multi-dimensional, self-administered and anonymous 33-item questionnaire on satisfaction, which had already been validated in primary care, was used. An analogue scale, running from 0 to 10, on overall satisfaction was added. The mean age was 48.5; 33% were men, 62% women. 84.2% replied; 37.3% needed help to reply. Mean satisfaction on the questionnaire was 85%, with lower ratings given to organisational questions, and the highest to personal treatment. The analogue scale achieved 7.34 average. The correlation between the two was r = 0.63 (p < 0.001). CONCLUSIONS: The satisfaction level was similar to that found in other studies. The analogue scale correlated closely with the questionnaire, but was quicker and more simple. As such, it could be used to monitor user satisfaction along with open questions for a supplementary qualitative evaluation.

Adolescent↗