An assessment of health effects of a cardiological prophylaxis programme in a local community with the use of the SCORE algorithm
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Epidemiology and Biostatistics Department, Chair of Social and Preventive Medicine, Medical University, Łódź, Poland
Department of Social Medicine, Chair of Social and Preventive Medicine, Medical University, Łódź, Poland
Department for Health Problems of Ageing, Institute of Rural Health, Lublin, Poland
Ann Agric Environ Med 2013;20(4):794–799
Introduction: In 2009, the SDR due to cardiovascular diseases was 356.3 per 100,000 people in Poland. The Prophylaxis and Early Detection of Cardiovascular Diseases Programme (PEDCCP) aimed at decreasing mortality caused by cardiovascular diseases (CVD) in Poland by 25%. The global risk of SCORE (European Systematic Coronary Risk Evaluation) has become a reason for implementing pro-health recommendations in order to eliminate risk factors in CVD. Methods: The presented observation study encompassed 458 participants of the PEDCCP from 2009 – 2011. The subjects received two arterial blood pressure tests as well as anthropometric measurements. Also, TC, LDL, HDL and TG levels were measured in laboratory tests. Statistical analysis included elements of descriptive and analytical statistics, with bivariate and multivariate logistic regression (odds ratios with 95% CIs). Results: A positive change in SCORE was observed in 13.3% of the subjects. It was higher in almost every third subject of the authors’ own study (29.5%). Mostly gender and age contributed to the change in SCORE, but regular glucose levels and no tendency to compete were also relevant. Conclusions: There is a need to continue such prophylaxis programmes in primary health care to better estimate the risk of mortality due to CVD in local communities.