医生未遵循美国国立心肺血液研究所的儿科血脂筛查指南。
Physicians' Lack of Adherence to National Heart, Lung, and Blood Institute Guidelines for Pediatric Lipid Screening.
作者信息
Valle Christopher W, Binns Helen J, Quadri-Sheriff Maheen, Benuck Irwin, Patel Angira
机构信息
Feinberg School of Medicine, Northwestern University, Chicago, IL.
Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Center on Obesity Management and Prevention and Pediatric Practice Research Group, Stanley Manne Children's Research Institute, Chicago, IL, USA.
出版信息
Clin Pediatr (Phila). 2015 Oct;54(12):1200-5. doi: 10.1177/0009922815576885. Epub 2015 Mar 26.
OBJECTIVES
To determine adherence to the 2011 National Heart, Lung, and Blood Institute lipid screening guidelines and identify patient factors promoting screening.
METHODS
Records of children who received well-child care at age 11 years and turned 12 in 2013 were reviewed. Subjects were stratified by guideline-defined dyslipidemia risk based on documented medical or family history risk factors. We defined adherence as the order of a lipid profile when age 11 years or completed lipid screening at 9 to 10 years.
RESULTS
Of 298 subjects, 42% were assigned to the dyslipidemia high-risk subgroup. Records of 27.2% demonstrated adherence. Fifty-six percent of high-risk subjects versus 6% of their non-high-risk counterparts received lipid screening by age 12 (P < .001). Among screened subjects, history of obesity and parental history of dyslipidemia were significantly associated with lipid testing.
CONCLUSIONS
Lipid screening rates were low. Strategies to increase lipid screening in the primary care setting are needed.
目的
确定对2011年美国国立心肺血液研究所脂质筛查指南的依从性，并识别促进筛查的患者因素。
方法
回顾了2013年接受11岁儿童健康检查并年满12岁的儿童的记录。根据记录的医学或家族病史风险因素，按照指南定义的血脂异常风险对受试者进行分层。我们将依从性定义为11岁时进行血脂检查或在9至10岁时完成血脂筛查。
结果
在298名受试者中，42%被归入血脂异常高危亚组。27.2%的记录显示有依从性。56%的高危受试者在12岁前接受了血脂筛查，而非高危受试者的这一比例为6%（P<0.001）。在接受筛查的受试者中，肥胖史和父母血脂异常史与血脂检测显著相关。
结论
脂质筛查率较低。需要采取策略提高初级保健机构中的脂质筛查率。
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