Use of Electronic Support for Implementing Global Cardiovascular Risk Management
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High Blood Press Cardiovasc Prev 2010; 17 (1): 37-47 1120-9879/10/0001-0037/$49.95/0
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Use of Electronic Support for Implementing Global Cardiovascular Risk Management Analysis of the Results of the EFFECTUS (Evaluation of Final Feasible Effect of Control Training and Ultra Sensitisation) Educational Programme Giuliano Tocci,1 Andrea Ferrucci,1 Pietro Guida,2 Angelo Avogaro,3 Marco Comaschi,4 Alberto Corsini,5 Claudio Cortese,6 Carlo Bruno Giorda,7 Enzo Manzato,8 Gerardo Medea,9 Gian Francesco Mureddu,10 Gabriele Riccardi,11 Giulio Titta,12 Giuseppe Ventriglia,9 Giovanni Battista Zito13 and Massimo Volpe,1,14on behalf of the EFFECTUS Steering Committee 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Chair and Division of Cardiology, II Faculty of Medicine, University ‘‘La Sapienza’’, Sant’Andrea Hospital, Rome, Italy Cardiology Unit, Emergency and Organ Transplantation Department, University of Bari, Bari, Italy Department of Clinic and Experimental Medicine, Chair of Metabolic Diseases, University of Padua, Padua, Italy Department of Emergency Medicine, University of Genova, San Martino Hospital, Genova, Italy Department of Pharmacological Sciences, University of Milan, Milan, Italy Department of Internal Medicine, University of Rome ‘‘Tor Vergata’’, Rome, Italy Metabolism and Diabetes Unit, ASL Turin 5, Chiari, Turin, Italy Department of Medical and Surgical Sciences, University of Padua, Padua, Italy Italian College of General Practice (SIMG), Rome, Italy Department of Cardiovascular Disease, San Giovanni-Addolorata Hospital, Rome, Italy Division of Endocrinology and Metabolic Disease, University of Naples ‘‘Federico II’’, Naples, Italy Italian Federation of General Medicine, Turin, Italy Cardiology Unit, ASL Napoli 3 Sud, Pompei, Naples, Italy IRCCS Neuromed, Pozzilli, Isernia, Italy
Abstract
Introduction: The EFFECTUS (Evaluation of Final Feasible Effect of Control Training and Ultra Sensitisation) study is an educational programme, aimed at implementing global cardiovascular risk management in daily clinical practice in Italy. Objective: To evaluate global cardiovascular risk management among physicians stratified according to the use of conventional (CS) or electronic (ES) support for clinical data collection and registration. Methods: Involved physicians were asked to submit data into a study-designed, case-report form, covering the first ten adult outpatients consecutively seen in May 2006. A case-report form was made available on CS or ES, depending on physicians’ preferences and attitudes. All available data were centrally analysed for global cardiovascular risk assessment and cardiovascular risk profile characterization. Results: Overall, 1078 physicians (27% females, aged 50 – 7 years) collected data from 9904 outpatients (46.5% females, aged 67 – 9 years). 299 physicians used CS for 2672 (27.0%) patients, whereas the remaining 779 physicians used ES for 7232 patients (73.0%). A higher prevalence of obesity, diabetes mellitus, ischaemic heart disease (mostly pr
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