Reporting new cases of anaemia in primary care settings in Crete, Greece: a rural practice study

Lionis, Christos; Symvoulakis, Emmanouil K.; Duijker, George; Anastasiou, Foteini; Kladou, Christina; Ladoukaki, Evanggelia; Makri, Kornilia; Petraki, Chrisoula; Nektarios, Sivaropoulos; Sasarolis, Spiridon; Stefanaki, Anastasia; Vasilaki, Aggeliki; Vasilopoulos, Theodoros

doi:10.1186/1447-056x-11-4

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…Despite the within-gender variations, these major chronic conditions appear to be more frequent in the population of our study compared with other Greek studies. 27 , 31 , 32 Nevertheless, our findings seem to be in accordance with the literature, which suggests that patients suffering from heart diseases, COPD, or type 2 diabetes are at a higher risk for CAP. 19 , 33 , 34 …”

Section: Discussionsupporting

confidence: 91%

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Studying the burden of community-acquired pneumonia in adults aged ⩾50 years in primary health care: an observational study in rural Crete, Greece

Bertsias

Tsiligianni

Duijker

et al. 2014

npj Prim Care Resp Med

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Background:Community-acquired pneumonia (CAP) is a potentially life-threatening condition that often requires hospitalisation particularly in the elderly population or in patients with comorbidities.Aims:The aims of this study were to estimate the CAP frequency and severity in a well-defined primary healthcare setting in rural Crete, to record patient characteristics, their immunisation status and to estimate hospitalisation frequency and determinants.Methods:An observational study was designed and implemented in a rural setting within the prefecture of Heraklion in the island of Crete, Greece. Eligible patients were those aged 50 years or above, presenting with CAP based on signs and symptoms and positive X-ray findings.Results:A total of 124 CAP cases were recorded, 40 of which (32.3%) were hospitalised. Τhe age-standardised CAP incidence was estimated to be 236.7 cases per 100,000 persons aged ⩾50 years. Forty-three patients (35.2%) were vaccinated against pneumococcus. The most frequent chronic illnesses were heart disease (64.5%), chronic obstructive pulmonary disease (32.5%), and type 2 diabetes (21%). Hospitalisation determinants included advanced age (⩾74 years, Odds ratio (OR) 7.13; P value=0.001; 95% confidence interval (CI), 2.23–22.79), obesity (OR 3.36, P=0.037; 95% CI, 1.08–10.52), ⩾40 pack-years of smoking (OR 3.82, P value=0.040; 95% CI, 1.07–18.42), presence of multimorbidity (OR 5.77, P value=0.003; 95% CI, 1.81–18.42) and pneumococcal vaccination (OR 0.29, P value=0.041; 95% CI, 0.09–0.95).Conclusions:This study highlighted patient characteristics and aspects of CAP epidemiology in the context of a rural primary care setting in southern Europe where limited data have been published until now.

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Section: Discussionsupporting

confidence: 91%

“…This finding was expected, as a recent primary care study regarding new cases of anaemia that was conducted in a similar setting in rural Crete found that 77% of participants were overweight or obese as well. 27 …”

Section: Discussionmentioning

confidence: 99%

Studying the burden of community-acquired pneumonia in adults aged ⩾50 years in primary health care: an observational study in rural Crete, Greece

Bertsias

Tsiligianni

Duijker

et al. 2014

npj Prim Care Resp Med

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“…The mean Hb levels in the group with confirmed anaemia, as identified by the portable analyzer, were 11.1 g/dl, whereas the mean Hb levels acquired by the whole blood count were 11.4 g/dl. Sixteen of the 45 patients with anaemia (35.6%) had IDA, meaning their ferritin levels were less than 30 ng/ml [18].…”

Section: Research Datamentioning

confidence: 99%

Prevalence and Management of Anemia in Adolescents in Primary Care Settings

Algaows

Aloseimi

Almahmoudi

et al. 2021

JPRI

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Anemia is defined as a drop in haemoglobin (Hb), hematocrit (HCT), or red blood cell (RBC) count. Anemia is a widespread issue in primary care, and primary care physicians are generally the first to notice its symptoms. Anaemia is a prevalent clinical concern among the adolescents. It is widely known that haemoglobin levels drop with age increase. Anemia has been linked to a variety of negative effects, including higher mortality, hospitalisation, and a worse quality of life. epidemiological reporting of anaemia is fragmented. Anemia is diagnosed in part by symptoms reported in general practice/family medicine (GP/FM). Management of anemia relies on the type of anemia and underlying cause, in this review we will be looking at Prevalence, etiology, classification and management of Anemia.

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“…Moreover, there are primary care PBRNs that have been set up in some other European countries (26)(27)(28)(29)(30). There are some positive examples of practice-based research networks in rural areas of selected European countries (31)(32)(33)(34). These enable the study of primary care problems as well as the process of continuing quality improvement within primary care settings (29).…”

Section: Practice-based Research Network In Family Medicinementioning

confidence: 99%

“…The network is very active and has produced many research results (31)(32)(33)49). In many European countries, research in rural family medicine is quickly developing.…”

Section: Practice-based Research Network In Rural Family Medicinementioning

confidence: 99%

Is a practice-based rural research network feasible in Europe?

Klemenc–Ketiš

Kurpas

Tsiligianni

et al. 2015

European Journal of General Practice

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Research in family medicine is a well-established entity nationally and internationally, covering all aspects of primary care including remote and isolated practices. However, due to limited capacity and resources in rural family medicine, its potential is not fully exploited yet. An idea to foster European rural primary care research by establishing a practice-based research network has been recently put forward by several members of the European Rural and Isolated Practitioners Association (EURIPA) and the European General Practice Research Network (EGPRN). Two workshops on why, and how to design a practice-based research network among rural family practices in Europe were conducted at two international meetings. This paper revisits the definition of practice-based research in family medicine, reflects on the current situation in Europe regarding the research in rural family practice, and discusses a rationale for practice-based research in rural family medicine. A SWOT analysis was used as the main tool to analyse the current situation in Europe regarding the research in rural family practice at both meetings. The key messages gained from these meetings may be employed by the Wonca Working Party on research, the International Federation of Primary Care Research Network and the EGPRN that seek to introduce a practice-based research approach. The cooperation and collaboration between EURIPA and EGPRN creates a fertile ground to discuss further the prospect of a European practice-based rural family medicine research network, and to draw on the joint experience.

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Reporting new cases of anaemia in primary care settings in Crete, Greece: a rural practice study

Cited by 5 publications

References 16 publications

Studying the burden of community-acquired pneumonia in adults aged ⩾50 years in primary health care: an observational study in rural Crete, Greece

Studying the burden of community-acquired pneumonia in adults aged ⩾50 years in primary health care: an observational study in rural Crete, Greece

Prevalence and Management of Anemia in Adolescents in Primary Care Settings

Is a practice-based rural research network feasible in Europe?

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