在中风前心血管风险因素管理中的年龄和性别差异:链接注册表和通用实践数据
Kiran Bam1, Monique F Kilkenny2,3, Joosup Kim2,3
1Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia, kiran.bam@monash.edu.
Neuroepidemiology
|March 6, 2024
概括
在中风前心血管风险因素管理在澳大利亚一般实践中显示了年龄和性别差异. 年轻患者和老年妇女的护理不那么一致,影响了初级预防的有效性.
科学领域:
- 心脏病学 心脏病学
- 一般的做法一般的做法
- 公共卫生 公共卫生
背景情况:
- 澳大利亚在中风或短暂性缺血性发作 (TIA) 之前的澳大利亚一般实践中对心血管风险因素管理的证据有限.
- 调查心血管风险因素管理中的年龄和性别差异对于初级中风预防至关重要.
研究的目的:
- 评估澳大利亚一般医院中风/TIA前12个月内心血管风险因素管理中的年龄和性别差异.
- 评估血压,脂质,葡萄糖和体重的管理,以及药物处方和目标实现.
主要方法:
- 使用链接的澳大利亚中风临床注册表和一般实践数据 (2014-2018) 的回顾性队列研究.
- 包括在中风/TIA前12个月内有≥2次与全科医生接触的成年人.
- 评估风险因素评估,预防药物处方和目标实现.
主要成果:
- 在2880名患者中,80.9%的血压被评估,但较少的血脂 (49.9%),葡萄糖 (46.8%) 或体重 (39.3%) 被评估.
- 与65-84岁患者相比,年龄<65岁或≥85岁的患者较少评估风险因素.
- 高龄女性 (≥85岁) 的风险因素评估比男性更少;在较年轻 (<65岁) 和最年长 (≥85岁) 的年龄组中,在降脂剂处方中发现了显著的性别差异.
结论:
- 年龄和性别差异在心血管风险因素管理中显而易见,用于澳大利亚一般实践中的初级中风预防.
- 这些差异在年轻患者 (<65岁) 和老年妇女 (≥85岁) 中更为明显.
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