Literature DB >> 16507288

[Evaluation of infiltrations performed in primary care].

V López-Marina1, G Pizarro-Romero, N Costa-Bardají, A Mata-Navarro, J R Vázquez-Blanco.   

Abstract

OBJECTIVES: 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.
DESIGN: Intervention without control group.
SETTING: Semiurban primary care physician's practices (ABS Piera). PARTICIPANTS: Men and women elder than 18 years old, with articular and periarticular pathology. INTERVENTION: Were infiltrated with local triamcinolone acetonid and bupivacain 2% 65 patients. MAIN MEASUREMENTS: 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.

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Year:  2005        PMID: 16507288      PMCID: PMC7684503          DOI: 10.1016/s0212-6567(05)70564-3

Source DB:  PubMed          Journal:  Aten Primaria        ISSN: 0212-6567            Impact factor:   1.137


  14 in total

1.  [Local infiltration in joint and soft-part pathology at a health centre].

Authors:  A A Varela González; M Sánchez Díaz; R Miranda Cortina
Journal:  Aten Primaria       Date:  2003-10-15       Impact factor: 1.137

2.  Injections of joints and soft tissue: Part I. General guidelines.

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3.  [Assessment of corticoid local injections at a health care center].

Authors:  A Gallardo Juan; P J Avellaneda Molina; J M Baeza López; M Jiménez González; M V Bonet Ferreiro; I Casas Aranda
Journal:  Aten Primaria       Date:  2000-03-31       Impact factor: 1.137

Review 4.  Intra-articular corticosteroids. Guide to selection and indications for use.

Authors:  J R Caldwell
Journal:  Drugs       Date:  1996-10       Impact factor: 9.546

Review 5.  Corticosteroid injection therapy for overuse injuries.

Authors:  K H Nelson; W Briner; J Cummins
Journal:  Am Fam Physician       Date:  1995-11-01       Impact factor: 3.292

6.  Comparison of physiotherapy, manipulation, and corticosteroid injection for treating shoulder complaints in general practice: randomised, single blind study.

Authors:  J C Winters; J S Sobel; K H Groenier; H J Arendzen; B Meyboom-de Jong
Journal:  BMJ       Date:  1997-05-03

7.  Corticosteroid injections for lateral epicondylitis: a systematic overview.

Authors:  W J Assendelft; E M Hay; R Adshead; L M Bouter
Journal:  Br J Gen Pract       Date:  1996-04       Impact factor: 5.386

8.  [Is therapy with local infiltrations feasible in primary care consultations?].

Authors:  J E Magaña Loarte; J Pérez Franco; G Sánchez Sánchez
Journal:  Aten Primaria       Date:  1999-01       Impact factor: 1.137

9.  The effects of joint washout and steroid injection compared with either joint washout or steroid injection alone in rheumatoid knee effusion.

Authors:  A Srinivasan; M Amos; M Webley
Journal:  Br J Rheumatol       Date:  1995-08

10.  [Evaluation of infiltration as a routine therapeutic technique in a health center].

Authors:  V M Vázquez García; A Pérez Laorden; M Detraux Viguera; F Barea Peinador; R Arquiaga Thireau; M J Méndez Calvo; E Fernández Manchado
Journal:  Aten Primaria       Date:  1998-05-31       Impact factor: 1.137

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  1 in total

1.  [Therapeutic attitude of tutors and fourth year residents of Family and Community Medicine from Girona towards peri-articular infiltration].

Authors:  Octavio Flores; Sandra Sofía Seminario; Esther Contreras; Pilar Pérez
Journal:  Aten Primaria       Date:  2016-01-23       Impact factor: 1.137

  1 in total

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