Patients' preferences for secondary prevention following a coronary event
Rattachement africain : nl. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Objective: Despite clear evidence on the effectiveness of secondary prevention, patients with coronary artery disease frequently fail to reach guideline-based risk factor targets. Integrating patients' preferences into treatment decisions has been recommended to reduce this gap. However, this requires knowledge about patient treatment preferences. Therefore, through a survey study, we aimed to explore which risk factors patients self-perceived, prioritised for improvement, and needed support with after a recent hospitalisation for coronary heart disease. Methods: A digital questionnaire was presented to patients > 18 years recently discharged (≤3 months) from an acute coronary care unit in the Netherlands (Europe). Patients could select from eight cardiovascular risk factors that they (1) self-perceived, (2) prioritised for improvement, and (3) needed support to improve. Patients' perceived risk factors were compared to those documented in the medical records. Results: Respondents (N = 254, 26 % women), mean age 64 (SD 10) years, identified 'physical inactivity' more frequently than their medical records (140 patients vs. 91 records, p < 0.001), while three other risk factors were reported with equal and four with lower frequency. 'Physical inactivity', 'overweight' and 'stress' were most frequently prioritised for improvement (82 %, 88 % and 78 %) and professional support (64 %, 50 % and 58 %), with 87 % preferring lifestyle optimisation if this would reduce drug use. Conclusions: Patients with a recent coronary event show significant disparities in identifying risk factors compared to their medical records. They tend to prefer improving lifestyle- over drug-modifiable risk factors, particularly physical inactivity, overweight and stress, and indicate the need for support in improving these factors.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Patients' preferences for secondary prevention following a coronary event
- Date Crossref
- 01/04/2024
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Amsterdam University Medical Centers Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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University of Amsterdam pays non établi dans la noticeUniversité ou école supérieure
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University of Applied Sciences Utrecht Research Group Chronic Diseases pays non établi dans la noticeUniversité ou école supérieure
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Sint Franciscus Gasthuis pays non établi dans la noticeÉtablissement de santé
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Franciscus Vlietland pays non établi dans la noticeÉtablissement de santé
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Capri Hartrevalidatie pays non établi dans la noticeÉtablissement de santé
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Erasmus MC Department of Rehabilitation Medicine pays non établi dans la noticeÉtablissement de santé
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Capri Cardiac Rehabilitation Rotterdam pays non établi dans la noticeInstitution
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Franciscus Gasthuis & Vlietland Hospital pays non établi dans la noticeÉtablissement de santé
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Cardiology Centers of the Netherlands pays non établi dans la noticeInstitution
Department of Cardiology — Amsterdam University Medical Centers, University of Amsterdam et Research Group Chronic Diseases — University of Applied Sciences Utrecht, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.