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Coimbra United by the Heart: Community-based project for the prevention of cardiovascular diseases
Session:
Painel 12 - Prevenção / Reabilitação Cardíaca 1
Speaker:
Filipa Homem
Congress:
CPC 2020
Topic:
J. Preventive Cardiology
Theme:
28. Risk Factors and Prevention
Subtheme:
28.2 Risk Factors and Prevention – Cardiovascular Risk Assessment
Session Type:
Posters
FP Number:
---
Authors:
Filipa Homem; Lino Gonçalves; Cristina Crepo; Maria de Fátima Cravo; Luis Rodrigues; Maria Clara Lopes; Rosabela Monteiro; Tânia Azevedo; Joana Sousa; Helena Martins; Joaquim Pereira; Irma Brito; Paulo Alexandre; Polybio Serra e Silva
Abstract
<p>Aims: Since 2016, through the project "Coimbra United by the Heart" (CUH) municipalities scaled-up efforts on CVD prevention, creating a community health network that: 1) early identifies citizens with cardiovascular risk; 2) provide awareness-raising strategies for a healthy lifestyle; 3) improve the health surveillance of people with CVR; 4) improve CVD management in primary health care; 5) monitor, evaluate and disseminate findings in the area of CVD prevention and treatment.</p> <p>Methods: In Coimbra, Hospital, Community Care Units, Nursing and Health School mobilize various thematic posts throughout the city (healthy lifestyles, healthy eating, alcohol consumption, HBP, stress management; BLS training, smoking cessation, physical activity), where citizens can calculate CVR (SCORE) and raise awareness about CVD prevention. Three months after, citizens’ surveillance is evaluated and the citizens without proper health surveillance according to their CVR are summoned by PHC.</p> <p>Results: During 4 editions, it was evaluated the SCORE of 1571 citizens, but only 977 citizens (345? and 632?) with a mean of 53.4±17.8 years were registered in Coimbra primary health centers. Of these, 54.2% (530) were identified with low CVR, 17.4% (170) moderate CVR, 17.2% (168) high CVR and 11.1% (108) very high CVR. All participants without proper health surveillance (N=89) were summoned.</p> <p>Three months after the various editions telephone interviews were conducted, and 117 (12%) citizens registered in Coimbra PHC were interviewed. When asked if the project motivated them to seek health services, 25 (21.5%) citizens said yes, namely the family doctor (23), the family nurse (1) or a cardiologist (1). 92 (78.5%) citizens report that they didn´t feel the need to search health services because are properly supervised in PHC (48), did not feel the need (36), are properly supervised by private cardiologist (5) or by the public sector cardiologist (3). Evaluating the usefulness of this project, between 1 (not useful) and 10 (very useful), the project was rated 8.7 ± 1.4 points and that should continue.</p> <p>Conclusion: The network between the Hospital's Cardiology department, the PHC and various community partners has made possible to create a lasting community intervention project to reinforce the importance of monitoring the RCV of the citizens of Coimbra, preventing CVD. This project proved to be useful in identifying citizens without proper health surveillance and rapid referral for Primary Healthcare Centers (PHC). Through the constant project monitoring, it was possible to underlie and plan new areas of intervention such as better articulation between differentiated health care and PHC, improvement of established indicators for CVD prevention and specialized training in PHC.</p>
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