在初级保健中管理心血管风险因素的性别差异和趋势:一个动态队列研究
Geert Smits1,2, Michiel L Bots3, Monika Hollander3
1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands g.smits@pozob.nl.
BJGP open
|August 28, 2024
概括
综合心血管保健改善了女性和男性的风险因素. 然而,从2013年到2019年,性别之间实现治疗目标的初始差异仍然存在.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 心血管风险管理 (CVRM) 治疗目标不区分性别.
- 护士领导的综合性CVRM计划旨在改善患者的治疗结果.
研究的目的:
- 调查实现CVRM治疗目标的基于性别的差异.
- 在初级保健环境中分析男性和女性风险因素控制的趋势.
主要方法:
- 在2013-2019年期间,荷兰进行了一项动态队列研究.
- 评估了生物 (SBP,LDL,eGFR) 和生活方式 (吸烟,活动,酒精,BMI) 因素的结果.
- 多变量回归模型分析了随着时间的推移趋势和性别差异.
主要成果:
- 参与者数量不断增长,女性每年约占52%.
- 目标的平均风险因子在两性之间显著改善,两者之间没有统计差异.
- 在2013年观察到的风险因素控制中的基于性别的差异在2019年仍然存在.
结论:
- 综合的CVRM护理有效地改善了女性和男性的心血管风险因素.
- 该计划在两性之间表现出同等的有效性,但并没有消除先前存在的性别差异.
- 持续存在的差异凸显了针对性战略的必要性,以应对性别特定的CVRM挑战.
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