澳大利亚职业生涯早期的全科医生对绝对心血管风险的评估:一个横截面研究
Toby Morgan1, Anna Ralston2,3, Andrew Davey2,3
1School of Population Health, University of New South Wales Faculty of Medicine, Kensington, New South Wales, Australia.
一般实践注册人员在2.5%的遭遇中进行了绝对心血管风险评估 (ACVRa),当指示时,更高的率. 护理的连续性与ACVRa的增加有关,但女性患者和年轻年龄组可能使用不足.
科学领域:
- 一般的做法一般的做法
- 评估心血管风险评估
- 医学教育 医学教育
背景情况:
- 绝对心血管风险评估 (ACVRa) 对于预防性护理至关重要.
- 了解大专注册医师对ACVRa的患病率和影响因素对于改善心血管健康结果至关重要.
研究的目的:
- 为了确定ACVRa的流行率,澳大利亚的通用实践注册人员进行了ACVRa.
- 为了确定注册人ACVRa和患者/遭遇特征之间的关联.
主要方法:
- 使用注册员在培训中的临床接触项目 (2017-2018) 数据进行的横截面研究.
- 分析了1003名注册人员记录的69105例患者问题/诊断.
- 使用了单变量和多变量回归分析.
主要成果:
- 在2.5%的所有问题/诊断和11.8%的病例中进行了ACVRa.
- 女性性别与ACVRa (OR 0.61) 的几率降低有关.
- 护理连续性变量显示出显著的关联,当组织个人跟踪时,ACVRa的几率增加 (OR 1.43).
结论:
- 护理的连续性与执行ACVRa的注册人员有积极的关联.
- 注册人员的ACVRa可能在女性患者和年轻年龄组中未得到充分利用,尽管它针对的是具有个体风险因素的患者.
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