Otradovec K, Blake R L, Parker B M
J Fam Pract. 1985 Aug;21(2):125-9.
There is evidence that attention to cardiovascular risk factors will decrease the mortality of atherosclerotic disease. The objective of this study was to ascertain how often cardiovascular risk factors were assessed and modified in inpatients and newly seen outpatients aged 10 to 50 years at the University of Missouri-Columbia Hospital and Clinics. A total of 461 randomly selected inpatient and outpatient charts were reviewed from three departments: family practice, internal medicine, and pediatrics. Each record was assessed for history of smoking, exercise, diet, stress, and familial heart disease, for blood pressure measurement, and for serum lipid profile and glucose determination. With the exception of blood pressure, the risk factors were infrequently assessed in outpatients. Again excepting hypertension, there was little evidence of any attempt to modify those risk factors identified in inpatients or outpatients. Therefore, an educational program in risk factor recognition and modification is needed for primary care physicians.
有证据表明，关注心血管危险因素可降低动脉粥样硬化疾病的死亡率。本研究的目的是确定在密苏里大学哥伦比亚分校医院及诊所，10至50岁的住院患者和新就诊门诊患者中，心血管危险因素的评估和调整频率。从家庭医学、内科和儿科三个科室随机抽取了461份住院和门诊病历进行审查。每份记录都评估了吸烟、运动、饮食、压力和家族性心脏病史、血压测量以及血脂谱和血糖测定情况。除血压外，门诊患者很少对危险因素进行评估。同样，除高血压外，几乎没有证据表明对住院患者或门诊患者中发现的危险因素进行过任何调整尝试。因此，初级保健医生需要接受关于危险因素识别和调整的教育项目。
