提高提供者对心血管疾病风险患者的Lp (a) 测试的认识:一项比较研究
Wael E Eid1,2,3,4, Emma Hatfield Sapp5, Callen Conroy6
1St. Elizabeth Physicians Regional Diabetes Center, Covington, Kentucky, USA.
American journal of preventive cardiology
|December 25, 2024
概括
预约前的电子健康记录信息显著增加了脂蛋白 (Lp) 测试的订单和结果. 这种干预改善了对Lp (a) 的查,这是动脉样硬化心血管疾病的关键因素.
科学领域:
- 心脏病学 心脏病学
- 临床化学 临床化学
- 医疗信息学 医疗信息学
背景情况:
- 脂质蛋白 (Lp) 是一种低密度脂质蛋白的变体,具有动脉起,动脉起和促炎性质.
- 升高的Lp (a) 水平是动脉样硬化心血管疾病 (ASCVD) 的重要危险因素.
- 在医疗保健提供者中,对Lp的临床意识和有效查工具仍然有限.
研究的目的:
- 评估预约前电子健康记录 (EHR) 消息在促进Lp(a) 查方面的有效性.
- 测量这些信息对订购和执行Lp (a) 测试的百分比的影响.
- 根据医疗服务提供者的建议,确定接受Lp (a) 检测的患者比例.
主要方法:
- 一项从2022年12月到2023年3月进行的前性研究.
- 大型社区卫生系统的提供者收到了针对性的预约前EHR信息,关于Lp (a) 查.
- 提供者被随机分为两个组:接收消息的提供者 (组1) 和对照组 (组2).
主要成果:
- 预约前的信息显著增加了Lp(a) 测试订单 (16.6%对比4.7%) 和随后进行的测试 (10.2%对比3.7%).
- 执业护士和医生助理表现出更高的每次订单Lp (a) 结果率,无论收到消息如何.
- 患者的Lp (a) 水平显示为59.7%≤29 mg/dL,9.7%在29至50 mg/dL之间,30.6%≥50 mg/dL.
结论:
- 基于EHR的预约前消息有效地增加了Lp (a) 测试订单和结果.
- 这种干预策略可以帮助改善临床查Lp在危险患者.
- 通过电子健康记录系统发送有针对性的信息是一种可行的工具,可以提高对Lp的认识和测试.
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