在学术中心遵守心血管预防指南
Iness Soltani1, Marie-Claude Beaulieu1, Maude Sestier1
1Centre hospitalier de l'Université de Montréal (CHUM) Research Center and Cardiovascular Centre, Montreal, Québec, Canada.
CJC open
|July 27, 2023
概括
心脏病学家对心血管预防指导方针的坚持是不理想的,在最佳控制脂质,血压和糖尿病方面存在显著差距. 需要制定策略来改善指导方针的遵守,以改善心脏病诊所患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 医疗保健的质量 医疗保健的质量
背景情况:
- 遵守临床指导方针可以改善患者的治疗结果.
- 一般医生坚持被研究,但专家坚持,特别是在心脏病专家,仍然不足研究.
- 这项研究确定了三级学术中心心脏病专家在心血管预防方面的实践差距.
研究的目的:
- 对心脏病门诊实践进行审计,根据已确定的心血管预防指南进行审计.
- 为了确定符合高血压,脂质,糖尿病,抗血小板治疗和心力衰竭指南的特定区域.
- 评估有关生活方式修改 (如吸烟,饮食和体育活动) 的讨论文件.
主要方法:
- 对2019年1月1日至2019年2月28日的心脏病门诊笔记的回顾性审计.
- 在蒙特利尔大学医院中心 (CHUM) 从电子医疗记录中提取数据.
- 记录实践与加拿大高血压,脂质,糖尿病,抗血小板和心力衰竭管理指南的比较.
主要成果:
- 在2503名患者中,最佳的低密度脂蛋白控制得到了39%,血压控制在65%,血糖控制在47%.
- 在34%的患者中记录了最佳的心力衰竭治疗;95%的患者接受了冠状动脉疾病的适当抗血栓治疗.
- 非药物干预的讨论率差异很大,从吸烟的91%,到饮食的16%.
结论:
- 心血管事件预防在这个学术心脏病门诊环境中是不理想的.
- 在药理和非药理干预方面,在遵守指导方针方面存在实践差距.
- 对于加强心脏病专家遵守指导方针的策略至关重要,以改善全国范围内的患者护理.
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