Related Experiment Videos
Nurse-led cardiovascular disease risk management intervention for patients with gout
Andy McLachlan1, Andrew Kerr, Mildred Lee
1Department of Cardiology, Middlemore Hospital, Auckland, New Zealand. AZMcLachlan@middlemore.co.nz
Insights
A nurse-led intervention effectively improved cardiovascular disease (CVD) risk management in gout patients. This approach enhanced preventative care uptake, demonstrating its value for high-risk individuals.
Area of Science:
- Rheumatology
- Cardiology
- Preventative Medicine
Background:
- Gout patients face elevated cardiovascular disease (CVD) risk.
- This risk is often inadequately managed in clinical practice.
Purpose of the Study:
- To assess a nurse-led, multidisciplinary strategy for enhancing CVD risk management in gout patients.
- To evaluate the effectiveness of this intervention in improving patient outcomes.
Main Methods:
- Patients with gout underwent structured, nurse-led CVD risk assessments.
- Interventions and goals for CVD prevention were established for high-risk individuals (5-year risk >10%).
- Patients were reassessed at 6 months to track changes in risk management and profile.
Main Results:
- 73% of 210 gout patients had high CVD risk or existing CVD.
- 84% of high-risk patients attended follow-up.
- Significant improvements were observed in aspirin and statin prescriptions, blood pressure control, and lifestyle factors like physical activity and smoking cessation support.
Conclusions:
- A nurse-led intervention is effective for managing cardiovascular risk in gout patients.
- This approach successfully increases the adoption of preventative cardiovascular interventions.
Background:
Patients with gout are at high risk for cardiovascular disease (CVD), and this risk is frequently under-managed.
Aims:
To evaluate a nurse-led multidisciplinary approach to improve CVD risk management in patients with gout.
Methods:
Patients referred to rheumatology clinics for gout management received a structured nurse-led CVD risk assessment. For the patients with an initial 5 year risk >10%, interventions for CVD prevention were identified and goals developed. These patients were then reassessed approximately 6 months later to determine changes in CVD risk management and profile.
Results:
Of 210 patients with gout, 73% had either a 5-year CVD risk >10% or had known CVD. Of these higher risk patients, 84% were available for follow-up. Compared with the initial visit there were improvements at follow-up in: the prescription of aspirin, statins, nicotine replacement therapy, uptake of self-reported activity levels, mean systolic and diastolic blood pressure, with a trend towards reduced cigarette smoking.
Conclusion:
A nurse-led intervention to assess and manage cardiovascular risk in patients with gout is effective in improving uptake of preventative interventions.
Related Concept Videos
01:26Peripheral Artery Disease IV: Nursing Management
01:20Rheumatic Heart Disease IV: Nursing Management
01:18Chronic Kidney Disease IV: Nursing Management
01:23Atherosclerosis IV: Nursing Management
01:27Peripheral Artery Disease III: Interprofessional Care
01:22Acute Kidney Injury VI: Nursing Management