PP.LB01.10: WHAT IS THE IMPACT TO A CARDIOVASCULAR HEALTH PROGRAMME IN PRIMARY CARE IN PATIENTS BEFORE SUFFERING AN ACUTE MYOCARDIAL INFARCTION OR A STROKE?. (June 2015)

• Record Type: Journal Article
• Authors: Lorca, E.; Soto, V.; Orellana, I.; Espinoza, M.
• Is Part Of: Journal of hypertension. Volume 33(2015)Supplement 1
• Publication Date: 2015-06
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000468132.12090.a0
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: The Cardiovascular Health Program (CHP) is an important strategy of the Chilean Ministry of Health to reduce morbidity and mortality associated with cardiovascular diseases. However, the coverage and impact of this program have not been tested in our area. The aim of this study was to determine the adherence to this program at Primary Health Care (PHC), evaluating whether patients who consulted for acute myocardial infarction (AMI) or Stroke, were in control in CHP before the cardiovascular event. Design and method: Transversal descriptive study of patients (pts) admitted to the Emergency Unit of our area for AMI or Stroke from January 2012 to December 2013.. From the Civil Registry Service we obtained information about death up to June 2014. Data collected were processed with STATA 11.1 statistical software. Results: A cardiovascular event occurred in 397 pts, 225 Stroke (57%) and 172 AMI (43%); 232 were male (58%). Women had a higher proportion of Stroke (62% of events), whereas in men the proportion of AMI and Stroke was similar. A total of 185 pts (46.6%) were enrolled in our CHP at PHC, and 212 pts were not enrolled. Of the 185 enrolled, 147 were in regular control and 38 did not attend after enrollment. Up to June 2014, 61 (33%) of the enrolled pts died (Stroke 38/AMI 23), in contrast 110 (52%) of not enrolled died (Stroke 79/AMI 31; p < 0.001). In the group of enrolled pts, those in regular control had 21% (31/147) vs 79% (30/38) of mortality in enrolled but not adherent to control was significant (p < 0.01). The scope of control targets for hypertension, diabetes and dyslipidemia in the pts enrolled was achieved more successfully in those > 65 years. Conclusions: Patients enrolled and adherent to the CHP at The East Metropolitan Health Service are only about one third of patients (147/397). Since they had the lowest death rate, an effort has to be done to improve participation in prevention programs. Access to health care and education of these groups appear to be strategies to add strongly to the ministerial program.