| Autor: |
Palmieri, Luigi, Rielli, Rita, Demattè, Luca, Donfrancesco, Chiara, Ciccarelli, Paola, De Sanctis Caiola, Patrizia, Dima, Francesco, Lo Noce, Cinzia, Brignoli, Ovidio, Cuffari, Alfredo, Giampaoli, Simona |
| Zdroj: |
European Journal of Preventive Cardiology; August 2011, Vol. 18 Issue: 4 p642-649, 8p |
| Abstrakt: |
Purpose: The Italian national prevention plan 2005–2008 included 10-year cardiovascular risk (10-CR) assessment of the general population aged 35–69 years using the CUORE project risk score. General practitioners (GPs) were encouraged to collect data on risk factors and 10-CR and to contribute to the Cardiovascular Risk Observatory (CRO). The aim is to demonstrate feasibility and effectiveness of 10-CR assessment as a first step to implement primary preventive actions at the individual level.Methods: Data were collected using CUORE.EXE software, easily and freely downloadable by GPs from the CUORE project website (www.cuore.iss.it). CRO provides a web platform to analyse and compare data on 10-CR and risk factors at regional and national levels with the aim of supporting health policy decision processes.Results: From January 2007 to May 2010, 2,858 GPs downloaded cuore.exe; 139,269 CR assessments on 117,345 persons were sent to CRO. CR mean was 3.0% in women, 8.3% in men; 30% of men and 65% of women were at lower risk (CR < 3%), 9.2% of men and 0.4% of women were at high risk (CR ≥ 20%). Among those with at least two risk assessments (n = 5,948), 8% (95% CI 7–9%) shifted to a lower risk class after 1 year. Systolic blood pressure mean levels decreased by 1.6 mmHg (95% CI 1.2–2.1 mmHg), diastolic blood pressure by 0.9 mmHg (95% CI 0.5–1.3 mmHg), total cholesterol by 5.6 mg/dl (95% CI 4.3–6.8 mg/dl), and smokers prevalence by 3.5% (95% CI 2.5–4.6%); high-density lipoprotein cholesterol increased in women by 1 mg/dl (95% CI 0.5–1.4 mg/dl).Conclusions: Data demonstrate that 10-CR assessment can be the first step to implement preventive actions in primary care. |
| Databáze: |
Supplemental Index |
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