Vanuzzo Diego, Samani Fabio, Canciani Luigi, Paduano Romano, Pilotto Lorenza, Bader Giovanni, Mirolo Renata, Battigelli Doriano, Panfilo Marina, Fattori Maria Grazia, Simon Giorgio, Zanier Loris
Centro di Prevenzione Cardiovascolare, ASS4 Medio Friuli, Udine.
G Ital Cardiol (Rome). 2009 Jan;10(1):37-43.
The CardioRESET project was carried out in 2005 to evaluate the feasibility of a cardiovascular risk factor survey by general practitioners in Friuli Venezia Giulia, a north-eastern Italian region.
We randomized 2701 subjects (1336 males and 1365 females), aged 35-74 years, from the general population. The family doctors surveyed the randomized population sample using the standardized methods of the Osservatorio Epidemiologico Cardiovascolare, a reference national survey.
The participation rate was 85.4% and all variables were recorded at least in 60% of subjects. Mean values of risk factors, prevalence of hypertension, dyslipidemia, diabetes and data on their control, smoking habits were comparable with data from the Osservatorio Epidemiologico Cardiovascolare; only the mean value of low-density lipoprotein cholesterolemia was higher in our region.
This experience points out that in a small region it is possible to engage general practitioners to achieve a standardized surveillance of cardiovascular risk factors at a low cost.
“心脏重置”项目于2005年开展,旨在评估意大利东北部弗留利-威尼斯朱利亚地区的全科医生进行心血管危险因素调查的可行性。
我们从普通人群中随机抽取了2701名年龄在35至74岁之间的受试者(1336名男性和1365名女性)。家庭医生使用全国参考调查“心血管疾病流行病学观察站”的标准化方法对随机抽取的人群样本进行了调查。
参与率为85.4%,所有变量至少在60%的受试者中进行了记录。危险因素的平均值、高血压、血脂异常、糖尿病的患病率及其控制数据、吸烟习惯与“心血管疾病流行病学观察站”的数据相当;只有我们地区的低密度脂蛋白胆固醇血症平均值较高。
这一经验表明,在一个小地区,可以让全科医生以低成本对心血管危险因素进行标准化监测。