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首页> 外文期刊>European journal of cardiovascular nursing: journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology >Equity of access to CVD risk management using electronic clinical decision support in the coronary care unit.
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Equity of access to CVD risk management using electronic clinical decision support in the coronary care unit.

机译：在冠状动脉护理部门使用电子临床决策支持，可以平等地获得CVD风险管理。

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BACKGROUND: Cardiovascular (CVD) risk management post myocardial infarction is inconsistently delivered with those who need the most receiving the least - the 'inverse care law.' The Acute PREDICT Initiative is a nurse led computerised decision support system (CDSS), to provide point-of-care guideline-based, patient-specific CVD risk management recommendations to all. METHODS: All patients admitted to Middlemore Hospital CCU over 2 years with acute CVD-related events potentially 'eligible' for PREDICT assessment were identified. Age, gender, ethnicity and a small area measure of socioeconomic status (NZDep01) were assessed. RESULTS: 1813/2246 (81%) of people admitted were eligible for a PREDICT assessment. Of those, 973 (54%) received a complete assessment. There were no important differences by quintile of deprivation or ethnicity between the patients receiving PREDICT and the rest. PREDICT assessments were less likely for the elderly (35.7% of >75years compared with 57.7% of <75years), for women (47.1% of women and 56.5% of men), and for those who had 5 or more previous admissions. CONCLUSIONS: Patients potentially at higher risk because of their ethnic or socioeconomic background received equitable access to in-hospital CVD risk management post MI using PREDICT. However, some other high-risk groups under-utilised the system.
机译：背景：心肌梗塞后的心血管（CVD）风险管理与需要最少的需求最多的人（“逆保健法”）不一致。急性PREDICT计划是由护士领导的计算机决策支持系统（CDSS），旨在为所有人提供基于护理点指南，针对患者的CVD风险管理建议。方法：确定了所有在米德尔莫尔医院CCU住院2年以上且可能“符合条件”进行PREDICT评估的急性CVD相关事件的患者。评估了年龄，性别，种族和社会经济地位的小范围测量（NZDep01）。结果：1813/2246（81％）被接纳的人符合PREDICT评估的条件。其中973（54％）人得到了完整的评估。在接受PREDICT的患者与其余患者之间，按五分位数的剥夺或种族划分没有重要差异。老年人（≥75岁的35.7％，低于<75岁的57.7％），女性（女性的47.1％和男性的56.5％）以及先前入院5次或以上的人群进行PREDICT评估的可能性较小。结论：由于种族或社会经济背景而可能处于较高风险中的患者使用PREDICT可以公平地获得MI后院内CVD风险管理。但是，其他一些高风险群体未充分利用该系统。

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