Naslov
Cardiovascular risk and intervention study in Croatian family medicine

Autori
Bergman Marković, Biserka ; Ivezić Lalić, Dragica ; Kranjčević, Ksenija ; Vrdoljak, Davorka ; Vučak ; Jasna

Izvornik
European journal of general practice (1381-4788) 15 (2009); 40-41

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, ostalo, znanstveni

Ključne riječi
cardiovascular risk ; SCORE ; intervention

Sažetak
Background: Cardiovascular diseases (CVD) are the leading cause of death in Croatia and worldwide, 40 EGPRN May 2009 Abstracts Downloaded By: [Vrdoljak, Davorka] At: 10:30 30 June 2009 and are a great economic burden for healthcare systems. CVD prevention should include a proactive approach to all, with additional care for high-risk groups. Total risk estimation significantly surpasses the sum of individual risk factors, and it is recommended. Research question: The assumption is that total CVD risk estimation using the Systematic Coronary Risk Evaluation (SCORE) risk chart in primary prevention (PP) in an intensive intervention group (IIG) (using measures accepted by the guidelines of professional societies) could result in greater primary CVD endpoint reduction compared to the single-factor approach in a conventional intervention group (CIG). Method: Multicentric, prospective, randomized, cohort study is planned. Sample of 64 general practitioners (GP) is stratified ; each GP includes systematic random sample of 55 patients aged ]40 years who meet inclusion criteria and visit during a 2-month period. Study questionnaire was created and validated (socio-demographic data, anthropometric measurements, family and personal medical history, current medication, nutrition, smoking and drinking habits, physical activity, QOL, blood and urine analyses, ECG, SCORE, Framingham risk chart, MNA scale [nutritional assessment for patients aged ]65 years]). GPs randomized into the IIG (n32) were educated to perform in a systematic manner precisely set risk factor follow-ups ; GPs randomized into the CIG (n32) will perform in ‘‘the usual way’’. After an 18-month period, a cohort of at-risk-of-CVD patients from both groups will be retested using identical methods. SSD (baseline and post-interventional parameters, and total CVD risk) between IIG and CIG will be tested (univariant multifactorial ANOVA, level of significance 95% ; 95% CI ; pB0.05). Results: Survey is in progress. Conclusions: The concept of total CVD risk estimation using the SCORE risk chart in PP of CVD should substitute the single CVD risk factor approach in general practice. GPs’ systematic approach is considered to be more successful than conventional approach in both the PP and secondary prevention CVD target groups.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

Napomena
Abstracts from the EGPRN meeting in Budapest

POVEZANOST RADA