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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Assessing the impact of the heart of New Ulm Project on cardiovascular disease risk factors: A population-based program to reduce cardiovascular disease
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Assessing the impact of the heart of New Ulm Project on cardiovascular disease risk factors: A population-based program to reduce cardiovascular disease

机译：评估新ULM项目心脏对心血管疾病风险因素的影响：基于人口的减少心血管疾病的计划

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The Heart of New Ulm Project (HONU), is a population-based project designed to reduce modifiable cardiovascular disease (CVD) risk factors in the rural community of New Ulm, MN. HONU interventions address multiple levels of the social-ecological model. The community is served by one health system, enabling the use of electronic health record (EHR) data for surveillance. The purpose of this study was to assess if trends in CVD risk factors and healthcare utilization differed between a cohort of New Ulm residents age 40-79 and matched controls selected from a similar community, using EHR data from baseline (2008-2009) through three follow up time periods (2010-2011, 2012-2013, 2014-2015). Matching, using covariate balance sparse technique, yielded a sample of 4077 New Ulm residents and 4077 controls. We used mixed effects longitudinal models to examine trends over time between the two groups. Blood pressure, total cholesterol, low-density lipoprotein-cholesterol, and triglycerides showed better management in New Ulm over time compared to the controls. The proportion of residents in New Ulm with controlled blood pressure increased by 6.2 percentage points compared to an increase of 2 points in controls (p 0.0001). As the cohort aged, 10-year ASCVD risk scores increased less in New Ulm (5.1) than the comparison community (5.9). The intervention and control community did not differ with regard to inpatient stays, smoking, or glucose. Findings suggest efficacy for the HONU project interventions for some outcomes.
机译：新乌尔姆项目（Honu）的核心是一个基于人口的项目，旨在减少新乌尔姆，Mn农村社区的可修改的心血管疾病（CVD）风险因素。 Honu干预讲述了社会生态模型的多个层面。该社区由一个卫生系统提供服务，从而使用电子健康记录（EHR）数据进行监控。本研究的目的是评估CVD危险因素和医疗利用的趋势是否不同于40-79岁的新ULM居民和选自类似社区的匹配对照的趋势，使用来自基线（2008-2009）到三个的EHR数据跟进时间段（2010-2011,2012-2013,2014-2015）。匹配，使用协变量平衡稀疏技术，产生了4077个新的ULM居民和4077个控制的样本。我们使用混合效果纵向模型来检查两组之间的时间趋势。血压，总胆固醇，低密度脂蛋白 - 胆固醇和甘油三酯在新的ULM与对照时显示出更好的管理。与受控血压的新乌尔姆中居民的比例增加了6.2个百分点，而对照中的2点增加（P <0.0001）。由于队员年龄，新的ULM（5.1）的10年性风险评分比比较界（5.9）增加。干预和控制界对住院病，吸烟或葡萄糖无不同。调查结果表明了一些结果的Honu项目干预的疗效。

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