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首页> 外文期刊>European journal of preventive cardiology >Impact of a cardiovascular disease risk screening result on preventive behaviour in asymptomatic participants of the ROBINSCA trial
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Impact of a cardiovascular disease risk screening result on preventive behaviour in asymptomatic participants of the ROBINSCA trial

机译：心血管疾病风险筛查对罗宾卡审判的无症状参与者预防行为的影响

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Introduction A teachable moment for preventive behavioural change can occur when asymptomatic individuals receive their cardiovascular disease screening result. This study investigated prevention-seeking behaviour and compliance with preventive treatment of participants of the population-based Risk Or Benefit IN Screening for CArdiovascular disease (ROBINSCA) trial after receiving a screening result. Methods Asymptomatic Dutch individuals (n = 43,447) were randomly assigned (1:1:1) to screening for cardiovascular disease by either traditional risk assessment (intervention arm A), or determining the amount of coronary artery calcification (intervention arm B), or to usual care (control arm). A random sample (n = 600) of ROBINSCA participants with a screening result (arms A and B) received an online questionnaire (in 2017) to measure the impact of a cardiovascular disease screening result in low and increased (arm A: risk > 10%; arm B: Agatston >= 100) risk groups. Results Of all respondents (438/600; 73%) 63.5% were men and the mean age ( +/- standard deviation) was 63.8 +/- 6.9 years. Individuals with an increased coronary artery calcification score consulted their general practitioner more often compared to increased risk individuals from arm A: 140/149 (94%) and 86/137 (62.8%), respectively (P < 0.001). Current use of blood pressure and cholesterol-lowering drugs was significantly higher in the increased coronary artery calcification score group (108/140; 77.1%), compared to the group with an increased traditional risk (35/80, 43.8%; P < 0.001). Self-reported compliance was high (98.1-100%). Conclusion Receiving the screening result might be a teachable moment that can enhance cardiovascular disease prevention-seeking behaviour through consulting a general practitioner and high compliance with preventive treatment. The impact of the screening result was more profound in the increased coronary artery calcification score group. Trial registration number: NTR6471
机译：引言在无症状的个体接受其心血管疾病筛查结果时，可能会发生预防行为变化的教育时刻。本研究调查了预防寻求行为和遵守在接受筛选结果后筛查基于人口的风险或筛选人口的风险或益处的参与者。方法通过传统风险评估（干预臂A），随机分配无症状荷兰个体（n = 43,447），以筛选心血管疾病，或确定冠状动脉钙化（干预手臂B）的量，或常用护理（控制手臂）。 Robinsca参与者的随机样本（n = 600），具有筛选结果（ARM A和B）收到了在线调查问卷（2017年）来测量心血管疾病筛查结果的影响低，增加（ARM A：风险> 10 ％; ARM B：Agatston> = 100）风险群体。所有受访者的结果（438/600; 73％）63.5％是男性，平均年龄（+/-标准差）为63.8 +/- 6.9岁。冠状动脉钙化评分增加的个体均经常与ARM A：140/149（94％）和86/137（62.8％）的风险增加相比，他们更常见的是他们的全科医生。冠状动脉钙化得分组（108/140; 77.1％）增加，目前使用血压和降低药物的使用显着升高，而具有增加的传统风险（35/80,43.8％; P <0.001 ）。自我报告的合规性高（98.1-100％）。结论接受筛查结果可能是通过咨询一般从业者和高度遵守预防性治疗，增强心血管疾病预防寻求行为的可经教育力矩。在冠状动脉钙化得分组增加，筛查结果对筛选结果的影响更加深刻。试用登记号码：NTR6471

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