[Predictive validity of Clinical Risk Groups in chronic patients in primary healthcare].

Objective: To analyse a prediction model for admissions and hospital emergencies based on Clinical Risk Groups, in a population of complex chronic patients demanding primary care.

Design: A multicentric retrospective observational study, of a cohort of chronic patients with comorbidity, from January until December 2013.

Place: The study population was assigned to the Santa Pola and Raval health centres from the Health Department of Elche.

Diabetes Does Not Increase the Risk of Hospitalization Due to COVID-19 in Patients Aged 50 Years or Older in Primary Care-APHOSDIAB-COVID-19 Multicenter Study.

The purpose of this study was to identify clinical, analytical, and sociodemographic variables associated with the need for hospital admission in people over 50 years infected with SARS-CoV-2 and to assess whether diabetes mellitus conditions the risk of hospitalization. A multicenter case-control study analyzing electronic medical records in patients with COVID-19 from 1 March 2020 to 30 April 2021 was conducted. We included 790 patients: 295 cases admitted to the hospital and 495 controls.

A scoring system to detect fixed airflow limitation in smokers from simple easy-to-use parameters.

No validated screening method currently exists for Chronic Obstructive Pulmonary Disease (COPD) in smokers. Therefore, we constructed a predictive model with simple parameters that can be applied for COPD screening to detect fixed airflow limitation. This observational cross-sectional study included a random sample of 222 smokers with no previous diagnosis of COPD undertaken in a Spanish region in 2014-2016.

Telemedicine in Primary Care for Patients With Chronic Conditions: The ValCrònic Quasi-Experimental Study.

Background: The increase of chronic diseases prevalence has created the need to adapt care models and to provide greater home supervision.

Objective: The objective of our study was to evaluate the impact of telemonitoring on patients with long-term conditions at high risk for rehospitalization or an emergency department visit, in terms of target disease control (diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease).

Methods: We conducted a quasi-experimental study with a before-and-after analysis to assess the effectiveness of the ValCrònic program after 1 year of primary care monitoring.

[Evaluation of satisfaction with telemedicine devices and with the results of the care received among chronic patients. The ValCrònic program].

Objective: To evaluate patient satisfaction with the ValCrònic program, telemedicine devices, and the results of the care received after a 2-year follow-up.

Design: Observational, descriptive study based on telephone surveys.

Setting: The autonomous community of Valencia (Spain).

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

Objective: To analyse the frequency of mistakes in communication between the physician and the patient and their incidence in errors in self-administered drugs.

Methods: We undertook a descriptive, cross-sectional study based on interviews with a random sample of patients older than 65 years who were polymedicated (five or more drugs) and had multiple comorbidities. Data were analysed about the patients' reports of what the physician said, medication mistakes by the patients and their consequences.