关键词: Aneurisma Aneurysm Aorta Aortic Cribado Ecografía Screening Ultrasound

Mesh : Aortic Aneurysm, Abdominal / diagnostic imaging epidemiology etiology COVID-19 Humans Male Mass Screening Pandemics Prevalence Primary Health Care Risk Factors SARS-CoV-2 Ultrasonography

来  源:   DOI:10.1016/j.aprim.2021.102234   PDF(Pubmed)

Abstract:
to describe the implantation of ultrasound screening for Abdominal Aortic Aneurysm (AAA) in our healthcare district in men from 65 to 79 years of age who have had an identifiable risk factor for developing AAA, such as smoking or a history thereof, hypertension, family history of aneurysms, aneurysms in other locations and clinical atherosclerosis, acute myocardial infarction, intermittent claudication, or stroke. Analyse the performance of said screening.
Primary Care.
656 patients were screened, representing 40% of the target population of 1,658 patients. The remaining part of the target population could not be screened because of the outbreak of the COVID-19 pandemic. 608 ultrasound examinations were performed.
coverage of the screening programme, prevalence of abdominal aortic aneurysms, prevalence of smoking and other risk factors in patients with/without aneurysms.
19 patients with ectatic aorta (25-29mm) and 11 with abdominal aortic aneurysms (1.81%) were found. 5 were active smokers (45%, compared to 20% in the entire sample) and 6 were former smokers. None of the aneurysm patients were non-smokers. 7 of them were hypertensive.
The prevalence of aneurysms in our sample was 2.6%, which was lower than expected. The wide use of ultrasound and its progressive generalisation in the Primary Care setting should lead to a decrease in the number of undiagnosed AAA.
摘要:
描述在我们的医疗区,在65至79岁的男性中植入超声筛查腹主动脉瘤(AAA),这些男性具有发展为AAA的可识别的风险因素,如吸烟或吸烟史,高血压,动脉瘤家族史,其他位置的动脉瘤和临床动脉粥样硬化,急性心肌梗死,间歇性跛行,或中风。分析所述筛选的性能。
初级保健。
对656名患者进行了筛查,代表1,658名患者的目标人群的40%。由于COVID-19大流行的爆发,目标人群的其余部分无法进行筛查。进行了608次超声检查。
筛查计划的覆盖范围,腹主动脉瘤的患病率,有/无动脉瘤患者的吸烟和其他危险因素的患病率。
发现19例主动脉扩张(25-29mm)和11例腹主动脉瘤(1.81%)。5人是活跃吸烟者(45%,与整个样本中的20%相比),6人是前吸烟者。没有动脉瘤患者是非吸烟者。其中7人为高血压。
我们样本中动脉瘤的患病率为2.6%,低于预期。超声的广泛使用及其在初级保健环境中的逐步普及应导致未诊断的AAA数量的减少。
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