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Efficacy of public screening analysis of morbidity and risk factors

Session Poster Session III - Friday 08:30 - 12:30

Speaker Associate Professor Natallia Maroz-Vadalazhskaya

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2015

  • Topic : e-cardiology / digital health, public health, health economics, research methodology
  • Sub-topic : Public Health and Health Economics
  • Session type : Poster Session

Authors : A Zahkarevich (Minsk,BY), N Maroz-Vadalazhskaya (Minsk,BY)

Authors:
A Zahkarevich1 , N Maroz-Vadalazhskaya2 , 12nd City Clinical Hospital - Minsk - Belarus , 2Scientific and Practical Center of Cardiology - Minsk - Belarus ,

Citation:

The Population-based screening (PBS) procedure seems to be effective in cardiovascular disease modified risk factors estimation. Arterial hypertension is a widespread disease with progress. It involves a lot of people in rather young age, who accumulates multiorgan impairment during long time and can not recognise the long-life risk of possible complications and management of healthy life. 
Aim: assessment of arterial hypertension rate and risk factors of cardiovascular disease in urban Belarusian two-million city population during two-days PBSs. 
Methods. Graduated nurses or doctors completed 50 PBS teams and organised PBS temporal decks in public places (supermarkets, drug-stores, plants, big hostels, etc). All citizens-participants were undergone the measurement of blood pressure, height, weight. Personal questioner about estimating of own risk factors and relation to these factors and health was filled and completed immediately at PBS desk.  
Results. During two autumn and spring PBSs totally 59121 citizens from 18 till 75 years came to PBS desk. A half of participants was in age 40-60 years, 38% - older 60 years. The most of citizens (70,1%)  had normal blood pressure. Measuring of weight was not able in 45% of participants (mostly women) due to subjective reasons (hesitating of friend or family members). About 40% of participants with increased BP had knowledge about their disease and came for control BP only. Small part of cohort (1336 participants (2,3%) in young age of 30-50 years got information about increased BP level firstly. Very high level of BP was found in 1757 (3,0%) participants and followed by medical emergency care. Analysis of questionaries' data showed that 42,6% of participants recognized physical activity as a hard office work at the table, 19% of participants commonly performed jogging for physical activity. Moreover, women were more interested on their health then men (53,9% vs 46,1%, p<0,05). Self-control of BP was used in 55,6% of participants. Among participants who knows their increased BP level before in 73,3% cases were noncomplined to antihypertensive therapy. Between questionared person 46,7% ask about responsibility to health their state and medicine. 
Conclusion. Population-based screening procedures performed in public places helps to reveal new patients with high blood pressure during their every day activity out of physicians office. Moreover PBS discovers a personal problems of patients complementarity to antihypertensive treatment, understanding of CVD risk factors and relation to changing citizens life style.

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