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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Cardiovascular risk factor screening and follow-up in a military population aged 40 years and older

Diane Flynn1, Jeremy D Johnson, Cathy J Bailey

  • 1Dept of Family Medicine, Madigan Army Medical Center, Tacoma, Washington, USA.

U.S. Army Medical Department Journal
|January 16, 2010
PubMed

Insights

A worksite cardiovascular risk assessment identified soldiers needing follow-up care. However, low compliance with recommended medical evaluations highlights the need for improved intervention strategies.

Area of Science:

  • Cardiovascular health
  • Occupational health
  • Preventive medicine

Background:

  • Cardiovascular disease is a leading cause of morbidity and mortality.
  • Early identification and management of cardiovascular risk factors are crucial for prevention.
  • Worksite-based health assessments offer a practical approach to reach adult populations.

Purpose of the Study:

  • To analyze a worksite-based cardiovascular risk assessment program for soldiers aged 40 and older.
  • To identify unrecognized cardiovascular risk factors within this demographic.
  • To evaluate participant compliance with recommended follow-up evaluations.

Main Methods:

  • A voluntary cardiovascular risk assessment was conducted at the worksite.
  • Included fasting blood tests, blood pressure, waist circumference, and carotid artery duplex scans.
  • Participants received results and recommendations for follow-up within one month if indicated.

Main Results:

  • 163 soldiers were eligible; 76 (46%) participated.
  • 29 participants (38%) required follow-up for elevated blood pressure, glucose, or lipids.
  • Only 7 of 29 participants (24%) complied with follow-up recommendations.

Conclusions:

  • Worksite interventions can effectively detect unmanaged cardiovascular risk factors in soldiers.
  • Current follow-up compliance is low, necessitating more aggressive strategies.
  • Enhanced strategies are required to ensure soldiers receive necessary medical interventions for cardiovascular health.
Abstract

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