Gaetano Diana E, Ackerman Susan, Clark Arleen, Hodge Bernadette, Hohensee Thomas, May John, Whiteman Wendy
Clinical Occupational Health, Bassett Healthcare, New York Center for Agricultural Medicine and Health/HealthWorks, Cooperstown, NY, USA.
AAOHN J. 2007 Feb;55(2):57-63. doi: 10.1177/216507990705500203.
The purpose of this study was to assess the effectiveness of coronary heart disease risk screening as a primary prevention tool. Screening included a lipid screening and American College of Cardiology Framingham cardiac risk profile for volunteers 45 years and older desiring A (interior) or B (exterior) classifications. Health surveillance records from 1998 to 2003 were reviewed for all firefighters and emergency medical services personnel in a rural New York county. Of the 1,458 volunteers evaluated, 1,166 were men and 292 were women. Three hundred fifteen individuals were screened for coronary heart disease risk; 52 had scores indicative of substantially increased risk. Subsequently, a health care provider or cardiologist saw 39 of these individuals, 26 (67%) of whom received pharmacologic, surgical, or other health care intervention. Coronary heart disease risk screening is an effective intervention in this population, and provides volunteers and their primary care providers with added motivation to actively reduce the risk of coronary heart disease via early intervention.
本研究的目的是评估冠心病风险筛查作为一级预防工具的有效性。筛查包括对希望获得A（内部）或B（外部）分类的45岁及以上志愿者进行血脂筛查和美国心脏病学会弗雷明汉心脏风险评估。对纽约一个乡村县的所有消防员和急救医疗服务人员1998年至2003年的健康监测记录进行了审查。在接受评估的1458名志愿者中，1166名是男性，292名是女性。315人接受了冠心病风险筛查；52人的得分表明风险大幅增加。随后，39名此类人员接受了医疗保健提供者或心脏病专家的诊治，其中26人（67%）接受了药物、手术或其他医疗保健干预。冠心病风险筛查在该人群中是一种有效的干预措施，为志愿者及其初级保健提供者提供了额外的动力，促使他们通过早期干预积极降低冠心病风险。
