Avtor/Urednik | Artac, Macide; Dalton, Andrew R H; Majeed, Azeem; Car, Josip; Millett, Christopher | |
Naslov | Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check) | |
Tip | članek | |
Vol. in št. | Letnik 57, št. 2 | |
Leto izdaje | 2013 | |
Obseg | str. 129-134 | |
ISSN | 0091-7435 - Preventive medicine | |
Jezik | eng | |
Abstrakt | Objective. We aimed to assess whether the National Health Service (NHS) Health Check, a systematic cardiovascular disease (CVD) risk assessment and management program, was associated with reduction in CVD risk in attendees after one year. Methods. We extracted data from patients aged 40%74 years, with high estimated CVD risk, who were registered with general practices in a deprived, culturally diverse setting in England. We included 4748 patients at baseline (July 2008%November 2009), with 3712 at follow-up (December 2009%March 2011). We used a pre%post study design to assess changes in global CVD risk, individual CVD risk factors and statin prescription in patients with a complete and partial Health Check. Results. There were significant reductions in mean CVD risk score (28.2%; 95% confidence interval (CI) = 27.3%29.1 to 26.2%; 95% CI, 25.4%27.1), diastolic blood pressure, total cholesterol levels and lipid ratios after one year in patients with a complete Health Check. Statin prescription increased from 14.0% (95% CI = 11.9% 16.0) to 60.6% (95% CI = 57.7%63.5). Conclusions. The introduction of NHS Health Check was associated with significant but modest reductions in CVD risk among screened high-risk individuals. Further cost-effectiveness analysis and work accounting for uptake is required to assess whether the program can make significant changes to population health. | |
Proste vsebinske oznake | cardiovascular disease risk assessment primary prevention bolezni srca in ožilja ocena tveganja primarna preventiva |