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CARDIOGAP: Bridging the gap between patient identification and therapy implementation in cardiovascular risk
Session:
Sessão de Posters 22 - Risco cardiovascular
Speaker:
João Miguel Fonseca e Sousa
Congress:
CPC 2024
Topic:
J. Preventive Cardiology
Theme:
28. Risk Factors and Prevention
Subtheme:
28.14 Risk Factors and Prevention - Other
Session Type:
Cartazes
FP Number:
---
Authors:
João Fonseca E Sousa; Carla Araújo; Irene Guimarães; Vanessa Carvalho; Álvaro Gouveia; Helga Lima; Rui Baptista
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><span style="font-size:10.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:#222222">BACKGROUND: In the face of escalating medical complexity, the need for streamlined resource optimization in healthcare has never been more urgent. This imperative is particularly evident in cardiovascular diseases (CVD), where despite successful risk stratification and mitigation strategies, elevated mortality rates persist among socioeconomically disadvantaged groups. Efforts to prevent CVD events rely on early identification of at-risk individuals and timely implementation of risk-mitigating measures. Persistent challenges in health systems to identify and intervene with high-risk patients underline the growing importance of implementation science. Operating in the real-world context, this field scrutinizes the capacity of health systems to deliver healthcare, bridging the gap between identifying at-risk individuals and implementing tailored therapeutic strategies. This approach facilitates the clinical assimilation of diagnostic and therapeutic advancements, providing timely preventive therapies for diseases with substantial societal burden.</span></span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><span style="font-size:10.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:#222222">DESIGN AND METHODS: The CARDIOGAP project emerges as a prospective solution to this challenge. By focusing on the secondary sector community, it seeks to achieve the early identification of high-risk individuals through data routinely collected in Occupational Medicine (OM) appointments, which occur biennially (or annually for individuals aged 50 or over). Patients will be risk stratified using the SCORE2 system using the data collected on the OM appointments on lipid profile, blood pressure and tobacco usage, allowing a systematic and prompt recognition of individuals at heightened cardiovascular (CV) risk. Patients with high or very-high risk will be referred to a CV risk hospital consultation within 14 days, where therapeutic interventions fostering adherence will be rigorously implemented. We will include 10 industrial corporations of São João da Madeira municipality, a universe of around 1000 industrial workers. After the first hospital appointment, patients will be followed-up to 1 year and lipid profile, blood pressure and therapeutic adherence will be measured.</span></span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><span style="font-size:10.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:#222222">CONCLUSIONS: CARDIOGAP represents a pioneering, population-based screening initiative applying implementation science principles. Leveraging existing community resources and data, particularly those within the OM framework, the project aims to reduce the prevalence of CVD risk factors through pragmatic and cost-effective planning and procedures.</span></span></span></span></span></span></p>
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Our mission: To reduce the burden of cardiovascular disease
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