Feasibility of cardiovascular risk screening in Portuguese community pharmacies
| Autor: | Anabela A. Fonseca, Isabel Vitória Figueiredo, Margarida Castel-Branco, Tácio de Mendonça Lima |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
obesity
Cross-sectional study pharmacists Pharmaceutical Science cross-sectional studies mesh:Risk Factors Pharmacy heart disease risk factors Pharmacists 030226 pharmacology & pharmacy 0302 clinical medicine mesh:Heart Disease Risk Factors Risk Factors sedentary behavior mesh:Sedentary Behavior Medicine risk factors mesh:Hypertension dyslipidemias Original Research mesh:Obesity feasibility studies Smoking mesh:Portugal risk assessment mesh:Feasibility Studies Cardiovascular Diseases Hypertension mesh:Cardiovascular Diseases mesh:Smoking Risk assessment medicine.medical_specialty hypertension mesh:Risk Assessment Pharmacist RM1-950 Risk Assessment smoking 03 medical and health sciences Pharmacotherapy pharmacies pharmaceutical services Pharmacy and materia medica Obesity mesh:Pharmacists Dyslipidemias Pharmacies Portugal business.industry mesh:Pharmacies medicine.disease Impaired fasting glucose portugal cardiovascular diseases RS1-441 mesh:Pharmaceutical Services Cross-Sectional Studies mesh:Dyslipidemias Heart Disease Risk Factors mesh:Cross-Sectional Studies Family medicine Pharmaceutical Services Feasibility Studies Therapeutics. Pharmacology Sedentary Behavior business Dyslipidemia |
| Zdroj: | Pharmacy Practice Pharmacy Practice, Vol 19, Iss 2, p 2255 (2021) Pharmacy Practice (Granada) v.19 n.2 2021 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname SciELO España: Revistas Científicas Españolas de Ciencias de la Salud Instituto de Salud Carlos III (ISCIII) |
| ISSN: | 1886-3655 1885-642X |
| Popis: | Background: Cardiovascular disease (CVD) remains the leading cause of human mortality. As highly accessible and qualified health professionals, community pharmacists can be included in the early detection of patients at risk for CVD by implementing CVD screening programs. Objective: To assess the feasibility of CVD risk screening services in Portuguese community pharmacies from the evaluation of customers acceptability. Methods: A cross-sectional study was conducted in a community pharmacy in Portugal. The purpose of entering the pharmacy was recorded for all customers. Afterwards, the customers were invited to be interviewed by the pharmacist, who registered their willingness to participate and collected the participants’ data and biochemical and physical parameters to assess their CV risk by applying the Systematic COronary Risk Evaluation (SCORE) model. For the participants who were not eligible for the SCORE-based risk assessment, the pharmacist considered the major modifiable CVD risk factors - hypertension, dyslipidemia, smoking habits, obesity, impaired fasting glucose and sedentary behavior - according to the ESC guidelines. Results: Picking up medication was the most prevalent reason 69.8% (n=1,600) for entering the pharmacy, and among the contacted customers, 56.4% (n=621) agreed to have their CVD risk assessed. Of the 588 participants, 56.6% (n=333) were already on CV pharmacotherapy and were therefore not eligible for screening. Of the 43.4% (n=255) CV pharmacotherapy-naïve participants, 94.9% (n=242) were screened with at least one CVD risk factor; 52.9% (n=135) were not eligible for the SCORE assessment, of which 92.6% (n=125) presented CVD risk factors. Of the 120 SCORE eligible participants, 80.0% (n=96) were at least at moderate risk of CVD. Conclusions: We determined the feasibility of CVD risk screening in Portuguese community pharmacies, as we found high customer acceptability, noted the reasons for nonattendance, and found a high prevalence of CVD risk factors in at-risk patients. This is an opportunity for Portuguese community pharmacists to take a leading role in the early detection of CVD. 3910-3178-31BA | MARIA MARGARIDA COUTINHO DE SEABRA CASTEL-BRANCO CAETANO info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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