RESUMEN
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Asunto(s)
Humanos , Masculino , Femenino , Niño , Inmovilización/métodos , Inmovilización/estadística & datos numéricos , Fijación de Fractura/métodos , Fijación de Fractura/tendencias , Ferula/tendencias , Ferula , Traumatismo Múltiple/diagnóstico , Trastornos de Traumas Acumulados/diagnóstico , Transporte de Pacientes , Inmovilización/instrumentación , Hipotermia/prevención & control , Fracturas Óseas/diagnóstico , Fracturas Óseas/epidemiología , Transporte de Pacientes/organización & administración , Transporte de Pacientes/normasRESUMEN
No disponible
Asunto(s)
Anciano , Masculino , Humanos , Aneurisma de la Aorta Abdominal , Infarto del MiocardioRESUMEN
OBJECTIVE: To study the level of concordance between the reactive strip, urine sediment and culture, and their sensitivity, specificity and predictive values. DESIGN: Crossover study. SETTING: Sotrondio and Laviana Health Centres, Asturias. PARTICIPANTS: Diabetics of 14 or over included in the procedure. MEASUREMENTS AND MAIN RESULTS: A total of 165 analytical samples of blood and urine were studied. The variables were: age, sex, reactive strip (RS) of urine, sediment (S), binomial concordance of reactive strip-sediment (RS-S), culture (C) and metabolic control. The level of concordance between the variables was found through the Kappa index. Very high concordance was obtained in the RS-S and C comparisons (K = 0.49). The analysis of the variable RS-S displayed sensitivity of 66% and specificity of 87%. CONCLUSIONS: Finding a low concordance between reactive strip, sediment and culture suggests their non-exclusive character. The importance of requesting urine sediment instead of the reactive strip for diabetics is indicated. Urine culture could well be included in the diabetic protocol.