University of Arizona, College of Medicine - Phoenix, AZ, USA.
Twinepidemic Inc, Phoenix, AZ, USA.
Ann Glob Health. 2024 Aug 21;90(1):54. doi: 10.5334/aogh.4497. eCollection 2024.
The global burden of cardiometabolic renal disease is increasing, particularly in underserved communities. Twinepidemic Inc.'s Galvanize Healthy Living program conducts community screenings, risk assessments, and educational interventions globally. We screened 1209 subjects for cardiovascular-kidney-metabolic syndrome, assessing their disease knowledge and self-confidence. Mean age was 50, with 65% females and 35% males. Imaging post-risk assessment revealed abnormalities: EKG (16%), echocardiogram (10%), carotid plaque (9%), ABI (2.5%), and eye exam (3.6%, including 8 retinopathies, 14 cataracts). New onset DM was found in 8%, prediabetes in 18.5%, High LDL in 4.2%, low HDL in 40.2%, high triglycerides in 13.1%, and abnormal BP in 38%. In addition, 18.2% were reclassified to a higher category of risk levels after imaging. Significant improvements in knowledge and self-empowerment (all < 0.001) were seen after educational interventions. This study underscores early risk assessment's potential to enhance health outcomes globally for underserved populations, validating POC imaging and emphasizing the role of accessible care and education in patient engagement and empowerment.
全球心肾代谢性疾病负担日益加重,特别是在服务不足的社区。Twinepidemic Inc. 的 Galvanize Healthy Living 项目在全球范围内开展社区筛查、风险评估和教育干预。我们对 1209 名心血管-肾脏-代谢综合征患者进行了筛查,评估了他们的疾病知识和自信心。平均年龄为 50 岁,女性占 65%,男性占 35%。风险评估后的影像学检查显示存在异常:心电图(16%)、超声心动图(10%)、颈动脉斑块(9%)、ABI(2.5%)和眼部检查(3.6%,包括 8 例视网膜病变,14 例白内障)。新诊断的糖尿病为 8%,糖尿病前期为 18.5%,高 LDL 血症为 4.2%,低 HDL 血症为 40.2%,高三酰甘油血症为 13.1%,血压异常为 38%。此外,18.2%的患者在影像学检查后被重新分类为更高风险级别。教育干预后,知识和自我赋权显著提高(均<0.001)。这项研究强调了早期风险评估在改善全球服务不足人群健康结果方面的潜力,验证了 POCT 成像的价值,并强调了可及性护理和教育在患者参与和赋权方面的作用。