Prevalencia del consejo antitabaco en un centro de atención primaria: comparación del registro en la historia clínica con lo referido por el usuario
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Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190560" "palabras" => array:4 [ 0 => "Consejo antitabaco" 1 => "Tabaco" 2 => "Registro" 3 => "Hábito tabáquico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190559" "palabras" => array:4 [ 0 => "Anti-smoking advice" 1 => "Smoking" 2 => "Patient charts" 3 => "Smo-king addiction" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estimar la prevalencia del consejo antitabacoen la población fumadora</p> <span class="elsevierStyleSectionTitle">Diseño</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional y transversal</p> <span class="elsevierStyleSectionTitle">Ámbito</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Atención primaria</p> <span class="elsevierStyleSectionTitle">Sujetos</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Muestra aleatoria simple de 1.228 pacientes mayores de 14 años citados en el último año en las consultas de medicina o de enfermería</p> <span class="elsevierStyleSectionTitle">Mediciones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Encuesta telefónica: edad, sexo, antecedentes médicos personales, nivel de estudios, existencia de consumo de tabaco, número de cigarrillos diarios, frecuencia asistencial, recepción de consejo antitabaco, motivo de con-sulta cuando lo recibió, estamento profesional que lo proporcionó y actitud frente al consejo. Historia clínica: regis-tro del consejo</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se obtuvieron 563 encuestas válidas. La población fumadora representa el 37% (intervalo de confianza [IC] del 95%, 33–41%), con una edad media ± desviación es-tándar (DE) de 33,37 ± 18,14 años. El 39,1% de los varones y el 36,1% de las mujeres fuman. La prevalencia del consejo antitabaco según el usuario es del 62,3% (IC del 95%, 56–69%). Existe poca concordancia entre el consejo referido por el paciente y lo registrado en la historia clínica (índice kappa de 0,149; p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,01). La edad media de los pacientes aconsejados (34,8 ± 10,89 años) fue mayor que la de los que no lo recibieron (30,9 ± 11,35 años). El 70% de los pacientes que frecuentan la consulta más de tres veces al año refieren haber recibido consejo (el 50% de los pacientes cuando acudieron menos de tres veces al año). El 78,3% de los pacientes que recibieron consejo refiere haberlo recibido cuando consultó por un motivo relacionado con el tabaco. Según el paciente, el estamento que mayoritariamente da el consejo es el médico (76,7%). La población fumadora que abandona el tabaco después del consejo es del 32,55%, de ellos sólo un 6,2% durante más de 6 meses</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La población fumadora de nuestro centro de salud representa un porcentaje similar al de la población general. La prevalencia del consejo antitabaco referida por el usuario es superior al obtenido en otros estudios, pero claramente mejorable. Existe un infrarregistro del consejo antitabaco en nuestras historias clínicas si lo comparamos con lo referido por el usuario. Los fumadores que recibieron más consejo son los más frecuentadores y los que consulta-ron por un motivo relacionado con el tabaco. Quien mayori-tariamente da el consejo es el médico</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">To estimate the prevalence of anti-tobacco counseling of smokers</p> <span class="elsevierStyleSectionTitle">Design</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional, descriptive study.</p> <span class="elsevierStyleSectionTitle">Setting</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Primary care center</p> <span class="elsevierStyleSectionTitle">Subjects</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Random sample of 1,228 patients over 14 years of age who visited a doctor or nurse over the year prior to the study</p> <span class="elsevierStyleSectionTitle">Measures</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">1) Telephone interview: age, sex, medical history, education, smoking status, number of cigarettes daily, frequency of visits to the doctor, receipt of anti-smoking advice, reason for seeking medical care, the type of professional who saw the patient and the patient's attitude toward the advice. 2) Patient chart: record of advice given</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Five hundred sixty-three questionnaires were valid. Smokers made up 37% (95% CI 33%-41%) of the popula-tion, with a mean age of 33.37 (18.14 years; 39.1% of men and 36.1% of the women smoked. The prevalence of anti-smoking counseling according to the patient was 62.3% (95% CI: 56-69%). There was little agreement between counseling as re-ported by the patients and as recorded in the patient's chart (kappa index 0.149, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.01). The mean age of patients advi-sed to quit (34.8 ± 10.89 years) was higher than that of those who did not receive advice to quit. Seventy percent of patients who came to the clinic more than 3 times per year reported having been advised to quit, whereas 50% of those who came fewer than 3 times per year were so advised. Among patients who were advised to quit, 78.3% said the advice came when they had come to the clinic about matters related to smoking. According to patients, advice was usually given by a doctor (76.7%). After being advised to quit, 32.55% of the smokers did so, 6.2% of them for longer than 6 months</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">The percentage of smokers at our clinic is similar to that in the general population. The prevalence of anti-smoking counseling reported by the user is greater than that reported in other studies, but can clearly be improved. Anti-smoking advice is underreported in our patient charts in comparison with patient reports. The patients who receive advice most often are those who come to the clinic frequently and those who come for smoking-related problems. Physicians are the professionals who most often advise patients on smoking</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 2 | 5 |
| 2024 October | 44 | 22 | 66 |
| 2024 September | 44 | 13 | 57 |
| 2024 August | 58 | 39 | 97 |
| 2024 July | 37 | 24 | 61 |
| 2024 June | 35 | 29 | 64 |
| 2024 May | 47 | 36 | 83 |
| 2024 April | 27 | 25 | 52 |
| 2024 March | 38 | 28 | 66 |
| 2024 February | 24 | 28 | 52 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 4 | 4 |
| 2023 September | 0 | 1 | 1 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 8 | 8 |
| 2023 June | 0 | 13 | 13 |
| 2023 March | 6 | 6 | 12 |
| 2023 February | 21 | 13 | 34 |
| 2023 January | 25 | 27 | 52 |
| 2022 December | 28 | 29 | 57 |
| 2022 November | 36 | 21 | 57 |
| 2022 October | 31 | 54 | 85 |
| 2022 September | 20 | 26 | 46 |
| 2022 August | 33 | 45 | 78 |
| 2022 July | 18 | 30 | 48 |
| 2022 June | 21 | 44 | 65 |
| 2022 May | 29 | 33 | 62 |
| 2022 April | 32 | 35 | 67 |
| 2022 March | 35 | 35 | 70 |
| 2022 February | 24 | 19 | 43 |
| 2022 January | 32 | 28 | 60 |
| 2021 December | 26 | 44 | 70 |
| 2021 November | 23 | 41 | 64 |
| 2021 October | 25 | 54 | 79 |
| 2021 September | 25 | 42 | 67 |
| 2021 August | 16 | 35 | 51 |
| 2021 July | 14 | 25 | 39 |
| 2021 June | 21 | 29 | 50 |
| 2021 May | 18 | 29 | 47 |
| 2021 April | 32 | 55 | 87 |
| 2021 March | 34 | 31 | 65 |
| 2021 February | 46 | 13 | 59 |
| 2021 January | 33 | 25 | 58 |
| 2020 December | 19 | 17 | 36 |
| 2020 November | 20 | 25 | 45 |
| 2020 October | 20 | 36 | 56 |
| 2020 September | 13 | 12 | 25 |
| 2020 August | 18 | 11 | 29 |
| 2020 July | 16 | 14 | 30 |
| 2020 June | 14 | 10 | 24 |
| 2020 May | 24 | 7 | 31 |
| 2020 April | 18 | 11 | 29 |
| 2020 March | 17 | 10 | 27 |
| 2020 February | 14 | 26 | 40 |
| 2020 January | 22 | 23 | 45 |
| 2019 December | 23 | 34 | 57 |
| 2019 November | 11 | 27 | 38 |
| 2019 October | 10 | 17 | 27 |
| 2019 September | 12 | 18 | 30 |
| 2019 August | 18 | 15 | 33 |
| 2019 July | 19 | 15 | 34 |
| 2019 June | 5 | 19 | 24 |
| 2019 May | 31 | 46 | 77 |
| 2019 April | 7 | 15 | 22 |
| 2019 March | 13 | 12 | 25 |
| 2019 February | 6 | 12 | 18 |
| 2019 January | 5 | 7 | 12 |
| 2018 December | 12 | 14 | 26 |
| 2018 November | 21 | 17 | 38 |
| 2018 October | 31 | 29 | 60 |
| 2018 September | 20 | 6 | 26 |
| 2018 May | 7 | 1 | 8 |
| 2018 April | 9 | 8 | 17 |
| 2018 March | 12 | 5 | 17 |
| 2018 February | 9 | 14 | 23 |
| 2018 January | 10 | 7 | 17 |
| 2017 December | 14 | 14 | 28 |
| 2017 November | 9 | 15 | 24 |
| 2017 October | 10 | 9 | 19 |
| 2017 September | 5 | 5 | 10 |
| 2017 August | 11 | 11 | 22 |
| 2017 July | 5 | 6 | 11 |
| 2017 June | 10 | 12 | 22 |
| 2017 May | 10 | 11 | 21 |
| 2017 April | 4 | 7 | 11 |
| 2017 March | 4 | 9 | 13 |
| 2017 February | 7 | 8 | 15 |
| 2017 January | 3 | 3 | 6 |
| 2016 December | 15 | 7 | 22 |
| 2016 November | 30 | 18 | 48 |
| 2016 October | 28 | 24 | 52 |
| 2016 September | 20 | 13 | 33 |
| 2016 August | 17 | 7 | 24 |
| 2016 July | 19 | 7 | 26 |
| 2016 June | 24 | 10 | 34 |
| 2016 May | 17 | 6 | 23 |
| 2016 April | 24 | 0 | 24 |
| 2016 March | 13 | 2 | 15 |
| 2016 February | 19 | 3 | 22 |
| 2016 January | 28 | 14 | 42 |
| 2015 December | 26 | 12 | 38 |
| 2015 November | 27 | 4 | 31 |
| 2015 October | 51 | 1 | 52 |
| 2015 September | 34 | 0 | 34 |
| 2015 August | 49 | 0 | 49 |
| 2015 July | 42 | 0 | 42 |
| 2015 June | 48 | 0 | 48 |
| 2015 May | 48 | 0 | 48 |
| 2015 April | 38 | 0 | 38 |
| 2015 March | 49 | 0 | 49 |
| 2015 February | 41 | 0 | 41 |
| 2015 January | 28 | 0 | 28 |
| 2014 December | 29 | 0 | 29 |
| 2014 November | 40 | 0 | 40 |
| 2014 October | 58 | 0 | 58 |
| 2014 September | 42 | 0 | 42 |
| 2014 August | 46 | 0 | 46 |
| 2014 July | 30 | 0 | 30 |
| 2014 June | 53 | 0 | 53 |
| 2014 May | 44 | 0 | 44 |
| 2014 April | 47 | 0 | 47 |
| 2014 March | 40 | 0 | 40 |
| 2014 February | 44 | 0 | 44 |
| 2014 January | 33 | 0 | 33 |
| 2013 December | 40 | 0 | 40 |
| 2013 November | 23 | 0 | 23 |
| 2013 October | 33 | 0 | 33 |
| 2013 September | 42 | 0 | 42 |
| 2013 August | 50 | 0 | 50 |
| 2013 July | 63 | 0 | 63 |
| 2013 June | 31 | 0 | 31 |
| 2013 May | 31 | 0 | 31 |
| 2013 April | 24 | 0 | 24 |
| 2013 March | 11 | 0 | 11 |
| 2000 January | 1149 | 0 | 1149 |
Show all
