ArticleHeart (British Cardiac Society)2005
Improving secondary prevention in coronary bypass patients: closing the audit loop.
Article in Heart (British Cardiac Society), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Effectiveness of nurse-delivered cardiovascular risk management in primary care: a randomised trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Trial
- Secondary revascularization after CABG surgery.Nature reviews. Cardiology · 2012Review
- Guidelines and risk factor management.Heart (British Cardiac Society) · 2005Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo complete the audit loop assessing secondary preventative care of patients who had had coronary artery bypass graft (CABG) surgery.
designTwo separate surveys of 1000 patients who had had CABG at the regional centre between 1988 and 1997, selected in 1998 and 2001. A single page questionnaire was sent to the patient's general practitioner.
interventionsA list was sent to each general practice in Lothian, Scotland, of their patients on the CABG database and the results of the original survey. Lothian Health organised a project to contact and recall patients with cardiac disease in each practice. Sixty five (of 128) practices participated.
main outcome measuresBlood pressure, smoking status, serum cholesterol concentrations, and prescription of lipid lowering drugs and aspirin.
results918 questionnaires (92%) in the second survey were returned describing 875 patients: 151 (17%) patients smoked and 752 patients (86%) took aspirin. Mean (SD) systolic blood pressure was lower in the second survey (142.5 (19.2) mm Hg in the first survey v 139.4 (19.1) mm Hg, p < 0.005). In our first survey 34% of patients had cholesterol concentrations less than target (5.2 mmol/l). This increased from 12% of patients operated on in 1988 to 50% of patients operated on in 1997 (Spearman rank correlation 0.77, p < 0.01). In the second survey this proportion had risen to 65% and the correlation with year of operation was abolished.
conclusionsBy closing the audit loop, substantial improvements were shown in the management of risk factors in patients who have had coronary artery surgery in Lothian.
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