title: [Effectiveness of preventive activities at 8 years of their introduction in a general medicine practice in a health center].
abstract: OBJECTIVE
  Main: to assess the change in coronary risk (CR) in adults after 8 years of their involvement in the Programme of Preventive Activities and Health Promotion (PAPPS). Secondary: to determine the level of anti-tetanus vaccination reached and patients' compliance with activities.
  
  
  METHODS
  "Before and after" intervention study without random allocation.
  
  
  METHODS
  A general medical clinic at a health centre.
  
  
  METHODS
  429 patients (204 men, 225 women) between 30 and 65 monitored for 8 years, recruited by active search for cases at daily consultations.
  
  
  METHODS
  Blood pressure, cholesterol, weight, tobacco habit, alcohol intake, anti-tetanus vaccination state, CR calculation at 10 years on the Framingham scale, and degree of compliance with activities were all determined at the start, at 4 years and at 8 years. Data was obtained from the clinical notes.
  
  
  RESULTS
  Total population: a 0.8 drop in CR (CI difference: 0.4-1.2), equivalent to 8.5% of the initial figure. 64.4% increase in correct anti-tetanus vaccination (CI difference: 59.9-69). Compliance with activities at the start and after eight years: pressure 100%, 71%; tobacco consumption 99.5%, 71%; cholesterol determination 89%, 64%. Initially high CR sub-group: 6.7 drop of CR at 8 years (CI difference: 4.9-8.5), equivalent to 24.8% of the initial figure.
  
  
  CONCLUSIONS
  In the total population, the CR drop found was not clinically significant, whereas in the initially high CR sub-group the drop was. There should probably be an active search made for patients with high CR and action taken on them.
authors.affiliation: Centro de Salud Virgen de la Fuensanta, Valencia.
authors.forename: F
authors.initials: F
authors.lastname: Antón García
authors.forename: J V
authors.initials: JV
authors.lastname: Guerola Lablanca
authors.forename: J B
authors.initials: JB
authors.lastname: Catalán Macián
authors.forename: M J
authors.initials: MJ
authors.lastname: Barbas Galindo
authors.forename: R
authors.initials: R
authors.lastname: Durà Navarro
authors.forename: M J
authors.initials: MJ
authors.lastname: Richart Rufino
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000517:prevention & control; D001795:Blood Pressure Determination; D003327:Coronary Disease / Q000517:prevention & control*; D005194:Family Practice; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D012307:Risk Factors; D016540:Smoking Cessation; D014504:Urban Health
vernacular_title: Efectividad de las actividades preventivas a los 8 años de su introducción en una consulta de medicina general de un centro de salud.