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[Impact of an interactive web application on the improvement of cardiovascular risk factors control. Control-RCV
M A Prieto-Díaz1, E Méndez-Rodríguez2, D Murillo-García3
1Centro de Salud Vallobín-La Florida, Oviedo, Asturias, España; Facultad de Medicina, Cátedra Universidad de de Santiago de Compostela-SEMERGEN, Santiago de Compostela, España.
Insights
An interactive web application improved cardiovascular risk control by enhancing lifestyle changes and therapeutic compliance in patients with poorly controlled risk factors. This tool aids physicians in managing hypertension, dyslipidemia, and diabetes effectively.
Area of Science:
- Cardiology and Digital Health
- Preventive Medicine
- Health Informatics
Background:
- Cardiovascular (CV) risk factors like hypertension, dyslipidemia, and diabetes require effective management for prevention.
- Physician-guided interventions are crucial for improving patient adherence and lifestyle modifications.
- Technological tools can potentially enhance the delivery and effectiveness of CV risk management strategies.
Purpose of the Study:
- To evaluate the effectiveness of an interactive web application in improving cardiovascular risk control.
- To assess the application's impact on patient lifestyle, risk factor management, and therapeutic compliance.
Main Methods:
- Observational study involving primary care physicians and patients with high/very high CV risk.
- Patients had at least one poorly controlled risk factor: hypertension, dyslipidemia, or diabetes.
- An interactive web application generated reports for physicians to guide therapeutic adjustments, with follow-up at 4-6 months.
Main Results:
- Significant improvements observed in lifestyle changes (diet, physical activity, reduced smoking/alcohol) and CV risk factors (obesity, blood pressure, lipids, HbA1c).
- Cardiovascular risk reduction and improved therapeutic compliance were noted post-intervention.
- Baseline data indicated suboptimal management, with many patients not on fixed-dose combinations or consistently adhering to treatment.
Conclusions:
- The interactive web application effectively enhances lifestyle modifications and control of cardiovascular risk factors.
- Utilizing this digital tool leads to a tangible reduction in cardiovascular risk.
- The application also demonstrated a positive impact on improving therapeutic compliance among patients.
Objective:
To ascertain the utility of an interactive web application in the improvement of cardiovascular (CV) risk control.
Methods:
Observational study in which primary care physicians consecutively included high/very high CV risk patients with at least one of the following risk factors poorly controlled: hypertension, dyslipidemia or diabetes. After the introduction of data, the application generated a report comparing the recommended and the real targets. Then, the physicians could modify the therapeutic approach. The study consisted of 2 visits, at baseline and after 4-6 months.
Results:
A total of 379 patients (66.4±9.0 years; 67.3% male; 67.5/32.5% with high/very high CV risk) were included. At baseline, most patients received recommendations about salt restriction (90.2%), diet (94.2%), and physical activity (94.5%). With regard to pharmacological treatments, 53.6% of patients were not taking fixed-dose combinations. Only 35.1% met always with treatment. In 95.8% of patients sanitary education was given, in 29.8% the polypill was prescribed and in 24.3% lifestyle changes were recommended. During the second visit, a significant improvement in lifestyle changes (less smoking and alcohol consumption, and more physical activity, salt restriction and diet), CV risk factors (less obesity, blood pressure, lipids, HbA1c), as well as CV risk reduction were observed. The therapeutic compliance also improved.
Conclusions:
The use of the application allows improving lifestyle and CV risk factors control, leading to a reduction of CV risk and an improvement of therapeutic compliance.
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