Journal of epidemiology and community health
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J Epidemiol Community Health · Sep 2002
Randomized Controlled Trial Multicenter Study Clinical TrialEvidence based educational outreach visits: effects on prescriptions of non-steroidal anti-inflammatory drugs.
To evaluate the effectiveness of an evidence based group educational outreach visit on prescription patterns of non-steroidal anti-inflammatory drugs (NSAIDs) in primary care. ⋯ Evidence based educational outreach visits are more effective than no intervention at all. Results suggest that evidence based educational outreach visits are incrementally more effective than conventional educational sessions, which in turn are more effective than no intervention at all.
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J Epidemiol Community Health · Sep 2002
Short-term mortality of myocardial infarction patients with diabetes or hyperglycaemia during admission.
The hypothesis that patients with hyperglycaemia during admission, regardless of previous diagnosis of diabetes, have worse prognosis than those with normal glucose values is controversial. The objective was to assess the role of hyperglycaemia on short-term mortality after myocardial infarction (MI). ⋯ Higher 28 day mortality was observed among MI patients with glycaemia on admission >6.67 mmol/l compared with patients with lower levels, independently of major confounding variables and, particularly, previous diagnosis of diabetes. This early, simple, and inexpensive marker of bad prognosis after MI should prompt the application of more aggressive treatment of MI and risk factors and, probably, of glycaemia during admission.