Integrated electronic decision support increases cardiovascular disease risk assessment four fold in routine primary care practice

Abstract

Documentation of CVD risk in primary care patient records in New Zealand is negligible, despite being recommended as a prerequisite for targeted treatment for over 10 years, suggesting that previous strategies were ineffective. We demonstrate that integrated electronic decision support can quadruple CVD risk assessment in just one cycle of patient visits.

A Ten Year Overview of Surgical and Interventional Arrhythmology in Russia. Service Peculiar Features in the Far East

“…Например, в Новой Зеландии, подоб-ные модификации программного обеспечения в работе первичной медицинской помощи стали весьма успеш-ными, увеличив показатели оценки риска ССЗ пациентов от 4,7% до 53,5% за 12 месяцев (n = 6570) [550] подобная интеграции системы PREDICT-CVD с программным обес-печением первичной медицинской помощи увеличило в четыре раза качество выявления риска ССЗ среди 3 564 пациентов [551] . Недостатком такого подхода явля-ется необходимость вести электронную историю больного, как правило, за момент ведения которой, не все данные подлежат внесению, что приводит к отсутствию единого стандарта оценки .…”

Overview of Risk-Estimation Tools for Primary Prevention of Cardiovascular Diseases in European Populations

“…Especially the use of the cardiovascular age equivalences is considered by patients to be well understandable and motivating (8). Promising results showed the integration of the risk-estimation tool into the medical computer software (67).…”

Cardiovascular Risk-Estimation Systems in Primary Prevention

“…Certainly, this approach has been very successful in New Zealand, where a 4-fold increase in recording of total CVD risk in medical notes was demonstrated after the introduction of the PREDICT-CVD system. 45 …”

“…44 An approach that has been adopted successfully in New Zealand, called PREDICT-CVD, is the integration of the electronic risk-estimation system into the GP database so that the estimate is calculated automatically for each patient. 45 What Variables or Risk Factors Are Included in the Function, and Are These Appropriate?…”