Risk factors control in patients with cardiovascular diseases in Ivanovo region: possibilities of a regional registry
Aim - to assess with the help of computer informal and analytical system of registry the quality of measures directed to risk factors modification in patients followed in primary care units of Ivanovo region in 2015. Material and Methods - The data from 11800 patients (31.6% - men, age: 62.0±11.8 years) treated in 17 primary care units were studied. Among them 93% had hypertension, 16% had coronary artery disease (CAD), 20% had chronic heart failure (CHF). The registry indicators “Blood pressure control”, “Physical activity control”, “Smoking control”, “Weight control”, “Diet control”, “Lipids control” were estimated. Results - In the studied group blood pressure (BP) was controlled in 72% of patients. Among them 46% of patients had a goal BP, 26% of patients in whom BP exceeded the goal were prescribed combined medical therapy. Among 6390 patients who had the data on physical activity, 75% were active and 21% of patients with sedentary lifestyle received proper advice. From 6262 patients with known smoking status, 82% did not smoke, 15% who smoke received smoking cessation advice. In 6001 patients with measured weight, 20% had normal weight, 53% were recommended weight reduction. From 6721 patients who were asked about eating habits, 50% demonstrated healthy eating and 35% with unhealthy diet received corresponding advice. Only 27% of patients in the studied group had normal levels of blood lipids. Conclusion - In primary care units of Ivanovo region in 2015 patients were insufficiently asked about their lifestyle (smoking, physical activity, eating habits), as well as their body weight was measured. If a patient had a risk factor he usually receive a proper advice. For BP, weight and blood lipids the goals were achieved rare.