PERSPECTIVE OF THE HEALTH CENTERS DATA USAGE IN SHAPING OF PATIENTS REGISTRIES BY CARDIOVASCULAR RISK FACTORS, AN EXPERIENCE OF IRKUTSKAYA OBLAST

Abstract

Aim. To rationalize the data usage, acquired in Health Centers (HC) of Irkutskaya Oblast (region), for monitoring of cardiovascular risk factors (CVRF).Material and methods. Among 9 HCs of Irkutskaya oblast, retrospectively, 3374 random patients charts in HCs were analyzed, of age 25-64 y.o. by 2010-2012. Key CVRF were assessed. Results were presented as median (Ме [LQ; UQ]), percent (%), criteria χ2, with the differences marked as significant in p<0,05.Results. Relation of the number of females and males 25-64 y.o. as the HC visitors was 4,1:1 in Irkutskaya Oblast, but in general in the region — 1,15:1; there were also differences in age groups. Prevalence of hypercholesterolemia; sodium overconsumption; insufficient fruits and vegetables consumption; insufficient physical exercise; increased blood pressure; obesity; smoking; alcohol overconsumption in females, males and standardized by the gender and age, was, respectively, 59,7%, 58,3% and 51,4%; 46,3%, 55,2% and 50,4%; 36,9%, 47,4% and 41,7%; 44%, 30,2% and 38,5%; 37,1%, 40,6% and 34,4%; 31%, 25,5% and 26,1%; 16,6%, 42% and 30,9%; 0,3%, 4,4% and 1,8%, respectively. Comparing with the epidemiological study ESSE-RF, there was low rate of revealed alcohol overconsumption, hyperglycemia and diabetes, that can be explained by a range of potentially solvable issues. Also, it was shown that there are no clear criteria for CVRF related to psychosocial status of patients.Conclusion. Taken the admittance rate to HC about 5 million persons per year with guaranteed funding, and opportunity to acquire the data on key CVRF, it would be worthy to consider the usage of HC databases for the CVRF registries formation, taken the proper management, methodology, legal support and informational technologies.

Keywords

• факторы риска
• сердечно-сосудистые заболевания
• центры здоровья
• регистры
• мониторинг