Abstract 13354: Effectiveness of a Complex Intervention Based on Electronic Decision Support to Improve Management of Cardiovascular Disease Risk in Primary Healthcare: A Cluster-randomised Controlled Trial
| العنوان: | Abstract 13354: Effectiveness of a Complex Intervention Based on Electronic Decision Support to Improve Management of Cardiovascular Disease Risk in Primary Healthcare: A Cluster-randomised Controlled Trial |
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| المؤلفون: | Tracey-Lea Laba, David Peiris, Ruth Webster, Anthony Rodgers, Bandana Saini, Stephen Jan, Serigne Lo, Tim Usherwood, Qiang Li, Anushka Patel, Charlotte Hespe, Gian Luca Di Tanna, Ines Krass, Rohina Joshi, Carol L. Armour, Christopher M. Reid |
| المصدر: | Circulation. 142 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Decision support system, business.industry, Primary health care, Disease, Digital health, Blood pressure, Physiology (medical), Intervention (counseling), medicine, Cluster randomised controlled trial, Cardiology and Cardiovascular Medicine, Intensive care medicine, business, Risk management |
| الوصف: | Introduction: Cardiovascular disease (CVD) risk management is suboptimal in Australian primary healthcare. Following trials demonstrating efficacy of individual components, we developed a complex intervention comprised primarily of electronic point-of-care decision support, availability of cardiovascular polypills and a pharmacy-based adherence program. We sought to determine whether this combined multifaceted intervention, compared with usual care, would improve control of CVD risk factors in the Australian primary care setting. Methods and Results: In a parallel-arm cluster randomized trial, 71 general practices were allocated 1:1 either to the intervention or usual care. The primary outcome was the proportion of patients at high CVD risk and not on optimal preventive treatments at baseline (“high-risk under-treated”) achieving both blood pressure (BP) and low density lipoprotein (LDL) cholesterol targets at study end (BP ≤140/90 mmHg, or ≤130/80 mmHg in people with diabetes or albuminuria; LDL Conclusions: Despite the proven efficacy of individual components, this complex multifaceted intervention was poorly adopted and did not lead to relevant improvements in cardiovascular risk factor outcomes. |
| تدمد: | 1524-4539 0009-7322 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::2e864c82a3ba4d8b70cfcd8a8c422c13 https://doi.org/10.1161/circ.142.suppl_3.13354 |
| رقم الأكسشن: | edsair.doi...........2e864c82a3ba4d8b70cfcd8a8c422c13 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244539 00097322 |
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