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合理性与方法:高危心血管病患者临床实践登记。

Rationality and methods: registry of clinical practice in high-risk cardiovascular patients.

机构信息

Sociedade Brasileira de Cardiologia, Rio de Janeiro, RJ, Brasil.

出版信息

Arq Bras Cardiol. 2011 Jul;97(1):3-7. Epub 2011 May 20.

Abstract

BACKGROUND

To date, no Brazilian registry has been designed to document the clinical practice regarding assistance to patients at high cardiovascular risk in a large representative sample of research centers, including public and private hospitals nationwide. Thus, this study will identify gaps in the incorporation of interventions with proven benefit in our area.

OBJECTIVE

To record information on the Brazilian clinical practice with regard to the patients at high cardiovascular risk.

METHODS

Registry-type prospective observational study intended to document the current clinical practice applied to outpatients at high cardiovascular risk classified by the presence of one of the following variables: evidence of coronary artery disease, cerebrovascular disease, peripheral vascular disease in diabetics or non-diabetics; or in the presence of at least three of the following cardiovascular risk factors: hypertension, active smoking, dyslipidemia, age over 70 years, chronic kidney disease, family history of coronary artery disease and/or asymptomatic carotid artery disease. Patients will be collected in 43 centers across Brazil, including public and private hospitals, as well as in basic health care units, and clinically reviewed for one year after inclusion.

RESULTS

The findings will be presented one year after the start of collection (September 2011), and consolidated after a meeting with the population to discuss the objectives sought.

CONCLUSION

The analysis of this multicenter registry will design a horizontal perspective for the treatment of patients suffering from cardiovascular disease in Brazil.

摘要

背景

迄今为止,还没有一个巴西登记处被设计用来记录在全国范围内的大型代表性研究中心中,针对高心血管风险患者的医疗协助的临床实践,包括公立和私立医院。因此,本研究将确定在我们地区采用已证明有效的干预措施方面存在的差距。

目的

记录有关高心血管风险患者的巴西临床实践信息。

方法

本研究是一项注册类型的前瞻性观察研究,旨在记录当前应用于高心血管风险门诊患者的临床实践,这些患者根据以下一个或多个变量的存在进行分类:存在冠状动脉疾病、脑血管疾病、糖尿病或非糖尿病患者的外周血管疾病;或至少存在以下三个心血管风险因素:高血压、主动吸烟、血脂异常、年龄超过 70 岁、慢性肾脏病、冠心病家族史和/或无症状颈动脉疾病。将在巴西的 43 个中心(包括公立和私立医院以及基层卫生保健单位)收集患者,并在纳入后进行为期一年的临床随访。

结果

将在收集开始一年后(2011 年 9 月)呈现结果,并在与人群举行会议讨论所寻求的目标后进行整合。

结论

这项多中心登记处的分析将为巴西心血管疾病患者的治疗设计一个横向视角。

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