Medica Jadertina, Vol. 42 No. 3-4, 2012.
Professional paper
How well do family physicians record cardiovascular risk factors?
Ita Delija
; Dom zdravlja Splitsko-dalmatinske županije
Davorka Vrdoljak
; Medicinski fakultet Sveučilišta u Splitu, Katedra za obiteljsku medicinu
Biserka Bergman-Marković
; Medicinski fakultet Sveučilišta u Zagrebu, Katedra za obiteljsku medicinu
Abstract
Background. Cardiovascular diseases (CVD), according to the World Health Organization (WHO), are the leading cause of death in the modern world, and Croatia is no exception.
Aim. To investigate the recording of CVD risk factors in hypertensive patients enlisted for family physicians in two practices in the city of Split, as well as to achieve their target blood pressure and glycemia levels.
Respondents and methods. A retrospective pilot study was performed by reviewing the electronic database of two family practices. From the sample of all hypertensive patients, half (50%) of them were selected in each practice by using a random number generator. The participants were classified in the group
of primary (PP) and secondary prevention (SP). We have recorded: age, gender, existence of data on body mass index (BMI), smoking status, cholesterolaemia, fasting blood glycemia (FBG) and blood pressure (BP) as well as the achievement of target levels of BP and FBG.
Results. Out of the total of 445 respondents, BMI and smoking status were recorded in 19.8%, cholesterolaemia in 71.9%, FBG 72.1%, and BP in 80.9%. Data on FBG and cholesterolaemia were more
often observed in the sample of SP than in PP. In participants with recorded BP, target values in PP were achieved in 63.8%, while in SP in 40.4%. In SP sample, in 115 participants with recorded glycemia, the target value was achieved in 53.9%.
Conclusion. Our research in two practices has shown that CVD prevention in terms of recording and monitoring of risk factors and achieving target values of BP and FBG was inadequate.
Keywords
cardiovascular prevention; recording of risk factors; family medicine
Hrčak ID:
95484
URI
Publication date:
28.12.2012.
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