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[基层医疗中心血管疾病二级预防综合方案的疗效评估:PREseAP研究]

[Evaluation of the efficacy of a comprehensive programme of secondary prevention of cardiovascular disease in primary care: the PREseAP Study].

作者信息

Brotons C, Ariño D, Borrás I, Buitrago F, González M L, Kloppe P, Orozco D, Pepió J M, Rodríguez P, Rodríguez A I

机构信息

Unidad de Investigación, EAP Sardenya, Equip d'Atenció Primària Sardenya, Barcelona, Spain.

出版信息

Aten Primaria. 2006 Mar 31;37(5):295-8. doi: 10.1157/13086317.

DOI:10.1157/13086317
PMID:16595102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7676041/
Abstract

OBJECTIVES

To assess the efficacy of a comprehensive secondary prevention programme to reduce morbidity and mortality in patients who have suffered a cardiovascular (CV) event; to control CV risk factors and prophylactic treatment in order to prevent recurrence; and to improve the quality of life of patients with cardiovascular disease.

DESIGN

Randomised, pragmatic, open clinical trial in primary care.

SETTING

A total of 42 primary care centres of 8 different areas in Spain.

PARTICIPANTS

Men and women below 86 years old, diagnosed with coronary disease and/or stroke and/or peripheral vascular disease in the preceding year, and who have no serious or terminal disease.

INTERVENTION

Primary care centres will be randomised to following usual care (control group), or to following a comprehensive programme of secondary prevention (intervention group).

MAIN MEASUREMENTS

Cardiovascular fatal events, cardiovascular non-fatal events, total mortality and health-related quality of life (SF-36).

摘要

目的

评估一项综合二级预防计划在降低发生心血管(CV)事件患者的发病率和死亡率方面的疗效;控制心血管危险因素和预防性治疗以预防复发;并改善心血管疾病患者的生活质量。

设计

在初级保健机构进行的随机、实用、开放性临床试验。

地点

西班牙8个不同地区的42个初级保健中心。

参与者

年龄在86岁以下,前一年被诊断患有冠心病和/或中风和/或外周血管疾病,且无严重或晚期疾病的男性和女性。

干预措施

初级保健中心将被随机分为接受常规护理(对照组)或接受综合二级预防计划(干预组)。

主要测量指标

心血管死亡事件、心血管非致命事件、总死亡率和与健康相关的生活质量(SF-36)。

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本文引用的文献

1
Secondary prevention clinics for coronary heart disease: four year follow up of a randomised controlled trial in primary care.冠心病二级预防诊所:初级保健中一项随机对照试验的四年随访
BMJ. 2003 Jan 11;326(7380):84. doi: 10.1136/bmj.326.7380.84.
2
Prophylactic treatment after myocardial infarction in primary care: how far can we go?
Fam Pract. 2003 Feb;20(1):32-5. doi: 10.1093/fampra/20.1.32.
3
[Secondary prevention of myocardial infarction and health-related quality of life].心肌梗死的二级预防与健康相关生活质量
Med Clin (Barc). 2002 Jun 8;119(1):9-12.
4
Secondary prevention in 24, 431 patients with coronary heart disease: survey in primary care.24431例冠心病患者的二级预防:初级保健调查
BMJ. 2001 Jun 16;322(7300):1463. doi: 10.1136/bmj.322.7300.1463.
5
Is prophylactic treatment after myocardial infarction evidence-based?心肌梗死后的预防性治疗有循证依据吗?
Fam Pract. 1998 Oct;15(5):457-61. doi: 10.1093/fampra/15.5.457.