ArticleBMC health services research2009
A retrospective cohort study on lifestyle habits of cardiovascular patients: how informative are medical records?
Article in BMC health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- National Epidemiologic Survey of Thyroid cancer (NEST) in Korea.Epidemiology and health · 2018Article
- Evidence for the low recording of weight status and lifestyle risk factors in the Danish National Registry of Patients, 1999-2012.BMC public health · 2015Article
- Effect of continuous care model on lifestyle of patients with myocardial infarction.ARYA atherosclerosis · 2013Article
- Identification of Cardiovascular Patient Groups at Risk for Poor Medication Adherence: A Cluster Analysis.The Journal of cardiovascular nursingObservational
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTo evaluate the vigilance of medical specialists as to the lifestyle of their cardiovascular outpatients by comparing lifestyle screening as registered in medical records versus a lifestyle questionnaire (LSQ), a study was carried out at the cardiovascular outpatient clinic of the university hospital of Nijmegen, The Netherlands, between June 2004 and June 2005.
methodsFor 209 patients information from medical records on lifestyle habits, physician feedback, and interventions in the past year was compared to data gathered in the last month by a self-report LSQ.
resultsDoctors register smoking habits most consistently (90.4%), followed by alcohol use (81.8%), physical activity (50.2%), and eating habits (27.3%). Compared to the LSQ, smoking, unhealthy alcohol use, physical activity, and unhealthy eating habits are underreported in medical records by 31, 83, 54 and 97%, respectively. Feedback, advice or referral was documented in 8% for smoking, 3% for alcohol use, 12% for physical activity, and 26% for eating habits.
conclusionLifestyle is insufficiently registered or recognized by doctors providing routine care in a cardiovascular outpatient setting. Of the unhealthy lifestyle habits that are registered, few are accompanied by notes on advice or intervention. A lifestyle questionnaire facilitates screening and interventions in target patients and should therefore be incorporated in the cardiovascular setting as a routine patient intake procedure.
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