Kass D, Hickner J
Department of Family Practice, Michigan State University, College of Human Medicine, East Lansing.
Fam Pract Res J. 1991 Jun;11(2):139-48.
We report the results of physician follow-up of a group of community cholesterol-screening participants with hypercholesterolemia two years after the initial screening. Of 443 participants in a 1987 screening program, 51 (12%) had a cholesterol greater than the program cutoff of 7.16 mmol/L (277 mg/dL). In 1989, follow-up data from office records review and patient questionnaires were available on 48 (94%) of the 51 participants. Forty-three participants (90%) had consulted with a physician as advised. Twenty-five participants (66%) of the charts reviewed) had lipid profiles performed subsequent to the 1987 screening. Of the 43 participants consulting their physicians, twenty-six (60%) were prescribed a lipid-lowering regimen. Twenty-two were prescribed diet alone, fourteen also received prescriptions for medication, and two were advised to exercise more. Thirty subjects had had cholesterol levels checked in 1989, two years after the screening program. This group experienced an average decrease of 1.32 mmol/L (51 mg/dL), but several confounding factors may have contributed to this 16%-mean decline in cholesterol. Men were underrepresented throughout the screening and follow-up process. This community cholesterol-screening project in a small rural community achieved a high physician follow-up rate.
我们报告了一组社区胆固醇筛查中高胆固醇血症参与者在初次筛查两年后医生随访的结果。在1987年筛查项目的443名参与者中，51人（12%）的胆固醇水平高于项目临界值7.16 mmol/L（277 mg/dL）。1989年，可获得51名参与者中48人（94%）来自办公室记录审查和患者问卷的随访数据。43名参与者（90%）已按建议咨询过医生。在审查的病历中，25名参与者（66%）在1987年筛查后进行了血脂检测。在咨询医生的43名参与者中，26人（60%）被开具了降脂方案。22人仅被建议饮食控制，14人还接受了药物处方，2人被建议增加运动量。30名受试者在筛查项目两年后的1989年进行了胆固醇水平检测。该组胆固醇平均下降了1.32 mmol/L（51 mg/dL），但几个混杂因素可能导致了胆固醇平均下降16%。在整个筛查和随访过程中男性代表性不足。这个小乡村社区的社区胆固醇筛查项目实现了较高的医生随访率。
