Effectiveness of an Intervention Aimed at Improving Information for Patients with High Cardiovascular Risk: INFORISK Clinical Trial
Por:
Brotons, C, Moral, I, Fernandez, D, Puig, M, Vilella, MT, Puig, T, Cuixart, L, Ferriz, G, Pedro, AM, Codinachs, R, Rodriguez, M, Fuentes, R
Publicada:
1 abr 2021
Resumen:
Background: The concept of global cardiovascular risk is not usually well understood by patients in consultation. Methods: This was a multicenter, prospective, randomized, open clinical trial of one-year duration to evaluate the effectiveness in reducing global cardiovascular risk with an intervention aimed at high-risk patients to improve information on the cardiovascular risk compared to the usual care. The intervention was focused on providing information about cardiovascular risk in a more understandable way, explaining the best practices to reduce cardiovascular risk, and tailoring information to the individual. Results: Four-hundred and sixty-four subjects participated in the study; 59.3% were men, and the mean age was 61.0 (SD 8.0) years. Significant reductions in systolic blood pressure (SBP) (-3.12 mmHg), body mass index (BMI) (-0.34 kg/m(2)), abdominal circumference (-1.24 cm), and REGICOR cardiovascular risk (-0.63) were observed in the intervention group. Overall, no differences in cardiovascular risk score were observed between groups at the end of follow-up. Conclusions: Providing an easy-to-understand assessment of the cardiovascular risk motivated high-risk patients to adopt a healthier lifestyle and improved cardiovascular risk after one year in the intervention group. Clinicians should assess a patient's baseline understanding of their CV risk using tools other than absolute risk before making treatment recommendations.
Filiaciones:
Brotons, C:
EAP Sardenya IIB St Pau, Barcelona 08025, Spain
Moral, I:
EAP Sardenya IIB St Pau, Barcelona 08025, Spain
Fernandez, D:
EAP Sardenya IIB St Pau, Barcelona 08025, Spain
Puig, M:
EAP Sardenya IIB St Pau, Barcelona 08025, Spain
Vilella, MT:
EAP Sardenya IIB St Pau, Barcelona 08025, Spain
Puig, T:
Univ Autonoma Barcelona, Epidemiol Dept, CIBER Cardiovasc, Hosp Santa Creu & St Pau,IIB St Pau, Barcelona 08041, Spain
Cuixart, L:
EAP Dreta Eixample, Barcelona 08013, Spain
Ferriz, G:
ABS Sagrada Familia, Barcelona 08017, Spain
Pedro, AM:
ABS Gaudi, Barcelona 08017, Spain
Codinachs, R:
EAP Vic Sud, Vic 08500, Spain
Rodriguez, M:
CAP Pare Claret, Barcelona 08037, Spain
Fuentes, R:
EAP Sardenya IIB St Pau, Barcelona 08025, Spain
Green Published, gold
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