Clinical features, care pathways and behaviors of patients with high level of cardiovascular risk: Transversal study in south-west region of France [Profil clinique, parcours de soins et comportements des patients à haut risque cardiovasculaire: Étude transversale en Aquitaine]
Gay B.,University of Bordeaux Segalen |
Couffinhal T.,Bordeaux University Hospital Center |
Saillour-Glenisson F.,Comite de coord. de levaluation clinique et de la qualite en Aquitaine |
Sevin F.,Comite de coord. de levaluation clinique et de la qualite en Aquitaine |
And 2 more authors.
Presse Medicale | Year: 2013
Introduction: To screen and to follow-up the patients with high cardiovascular risk in general practice may amplify the decrease of the cardiovascular morbi-mortality observed since a few years. The objective of this study is to identify the patients with high cardiovascular risk and to describe the management of these patients by general practitioners in Aquitaine. Methods: Transversal study of a sample of patients from 18to 70years old with high cardiovascular risk (combining at least 3factors), included by voluntary general practitioners (GP). Results: Forty-seven GP included 102patients, presenting on average 3.7risk factors among which 2.6modifiable. The target values were reached for 59% of patients with high blood pressure, 56% of patients with diabetes and 53% of patients with high cholesterol level. The analysis of care pathways identified the cardiologist as the privileged interlocutor. The doctors thought that seven patients out of 10could change their risk behaviors. For the patients, the scale of declared importance to change was 6.6on 10for tobacco, 6.0for food habits and 6.2for physical activity. The confidence in their capacity to change was 3.8on 10for the tobacco, 5.2for the food habits and 4.7for the physical activity. Discussion: Although doctors' sample is not representative, these results give an original overview of the management of patients with high cardiovascular risk and their care pathways. Medical treatments were globally in accordance with guidelines. The difficulty to change risk behaviors illustrates the necessity of patient therapeutic education. © 2013 Elsevier Masson SAS.