[Evaluation of infiltrations performed in primary care].
OBJECTIVE
To describe the evolution of the pain and the functional impotence in the articular and periarticular pathology after to infiltrate with local corticosteroid and anaesthetic; to analize the number of discharge certificates that maybe to give in the patients with employment transitory incapacity (ETI) during the first week post-infiltration.


METHODS
Intervention without control group.


METHODS
Semiurban primary care physician's practices (ABS Piera).


METHODS
Men and women elder than 18 years old, with articular and periarticular pathology.


METHODS
Were infiltrated with local triamcinolone acetonid and bupivacain 2% 65 patients.


METHODS
Were gathered socio-demographic factors, diagnostic, response, number of infiltrations for patient, secondary effects, and number of discharge certificates that were given in the patients in ETI situation during the first week post-infiltration.


RESULTS
Were infiltrated predominantly men (57%) with 31-65 years old (67.7%), employed (70.7%) in manual works (78.4%). Rotary joint tendinitis (46.2%) and epicondylitis (27.7%) were the most common diagnostics. Mean and CI (95%) obtained in the VAS for pain were: initially, 8.8 (7.4-9.8); week, 1.4 (1-1.8); 3 months, 2.2 (1.3-3.1), and year, 2.3 (1.1-3.5). Mean and CI (95%) found for functional impotence were: initially, 8.2 (6.7-9.7); week, 0.9 (0.7-1.1); 3 months, 1.2 (0.9-1.5), and year, 1.6 (1.4-1.8). The number of infiltrations for patient was 1.6. Hadn't important secondary effects. Were given 19 discharge certificates in 25 patients with ETI in the first week post-infiltration.


CONCLUSIONS
The patients diminished the pain and the functional impotence in the articular and periarticular pathology after of the infiltration, allowing to give an elevate number of discharge certificates during the first week post-infiltration.
López-Marina
V
V
Area Básica de Salud de Piera, Servicio de Atención Primaria de Anoia, Instituto Catalán de la Salud, Piera, Barcelona, Spain. victor_lopezmarina@yahoo.com
Pizarro-Romero
G
G
Costa-Bardají
N
N
Mata-Navarro
A
A
Vázquez-Blanco
J R
JR
D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007592:Joint Diseases / Q000150:complications / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D011320:Primary Health Care; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*
D000779:Anesthetics, Local; D005938:Glucocorticoids; D014222:Triamcinolone Acetonide; D002045:Bupivacaine