Identifying at-risk patients through community pharmacy-based hypertension and stroke prevention screening projects.
Identifying at-risk patients through community pharmacy-based hypertension and stroke prevention screening projects.
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DOI：
10.1331/10865800360467042
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发表时间：
2003-01-01
期刊：
影响因子：
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通讯作者：
Narducci, Warren A
中科院分区：
文献类型：
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作者：
Mangum, Stacy A;Kraenow, Kim R;Narducci, Warren A
目的：为了证明社区药剂师是否可以成功地识别和转介血压升高和/或中风风险增加的患者。设置：一个独立的社区药房和老年人住房设施在农村爱荷华州。实践描述：药房有专门的空间为病人的护理活动，有一个社区药房的实践居民，并作为一个实习地点为当地学校的药房。在同一社区的三个老年人住房设施之一被用作中风预防项目的筛查点。实践创新：在血压项目进行期间，所有进入药房的成年人都可以免费进行血压筛查。如果读数升高，患者将被转介给他们的初级保健提供者。对于中风的预防，筛选使用美国心脏协会中风风险评估协议举行的药房和老年人住房facility.Main结果measurements：血压类别和中风风险（正常，轻度，中度，高）类别在screening.RESULTS：共351例患者werescreened高血压。其中，216例（62%）的读数大于140/90 mm Hg。在121例转诊给医生的患者中，43例（36%）改变了治疗方案。共有50名患者接受了卒中风险筛查。筛查患者的风险评估结果为正常，4%;轻度，26%;中度，32%;高，38%。这些项目表明，通过正在进行的筛查计划，社区药师是筛查心脑血管疾病风险患者的理想场所，并将患者转介给他们的医生进行进一步评估。成功识别和转诊血压升高和/或中风风险增加的患者。背景：爱荷华州农村的一家独立社区药房和老年人住房设施。药房有专门的空间用于病人护理活动，有社区药房实践居民，并作为当地药房学校的实习地点。同一社区的三个老年人住房设施之一被用作中风预防计划的筛查地点。在血压项目进行期间，所有进入药房的成年人都可以免费进行血压筛查。如果读数升高，患者将被转介给他们的初级保健提供者。为了预防中风，在药房和老年住房设施进行了使用美国心脏协会中风风险评估方案的筛查。主要观察指标：筛选期间获得的血压分类和卒中风险（正常、轻度、中度和高度）分类。结果共筛查高血压患者351例。其中，216例（62%）的读数大于140/90 mm Hg。在121例转诊给医生的患者中，43例（36%）改变了治疗方案。共有50名患者接受了卒中风险筛查。筛查患者的风险评估结果为正常，4%;轻度，26%;中度，32%;高，38%。结论这些项目表明，通过正在进行的筛查计划，社区药师是在一个理想的位置，以筛选心脑血管疾病的风险患者，并将患者转诊给他们的医生进行进一步的评估。
OBJECTIVE: To demonstrate whether a community pharmacist can be successful in identifying and referring patients with elevated blood pressure and/or increased risk of stroke.SETTING: An independent community pharmacy and well-elderly housing facility in rural Iowa.PRACTICE DESCRIPTION: The pharmacy had dedicated space for patient care activities, had a community pharmacy practice resident, and served as a clerkship site for a local school of pharmacy. One of three well-elderly housing facilities in the same community was used as a screening site for the stroke prevention program.PRACTICE INNOVATION: All adults entering the pharmacy duringthe time the blood pressure project was underway were offered a free blood pressure screening. If readings were elevated, patients were referred to their primary care provider. For stroke prevention, a screening using the American Heart Association stroke risk assessment protocol was held at the pharmacy and the well-elderly housing facility.MAIN OUTCOME MEASURES: Blood pressure categories and stroke risk (normal, mild, moderate, and high) categories obtained during the screening.RESULTS: A total of 351 patients werescreened for hypertension. Of these, 216 (62%) had readings greater than 140/90 mm Hg. Of the 121 patients referred to their physician, 43 (36%) had a regimen change. A total of 50 patients were screened for stroke risk. Results of the risk assessments for patients screened were normal, 4%; mild, 26%; moderate, 32%; high, 38%.CONCLUSION: These projects demonstrated that, through ongoing screening programs, community pharmacists are in an ideal position to screen patients at risk for cardiovascular and cerebrovascular disease and refer patients to their physicians for further evaluation.OBJECTIVE To demonstrate whether a community pharmacist can be successful in identifying and referring patients with elevated blood pressure and/or increased risk of stroke. SETTING An independent community pharmacy and well-elderly housing facility in rural Iowa. PRACTICE DESCRIPTION The pharmacy had dedicated space for patient care activities, had a community pharmacy practice resident, and served as a clerkship site for a local school of pharmacy. One of three well-elderly housing facilities in the same community was used as a screening site for the stroke prevention program. PRACTICE INNOVATION All adults entering the pharmacy during the time the blood pressure project was underway were offered a free blood pressure screening. If readings were elevated, patients were referred to their primary care provider. For stroke prevention, a screening using the American Heart Association stroke risk assessment protocol was held at the pharmacy and the well-elderly housing facility. MAIN OUTCOME MEASURES Blood pressure categories and stroke risk (normal, mild, moderate, and high) categories obtained during the screening. RESULTS A total of 351 patients were screened for hypertension. Of these, 216(62%) had readings greater than 140/90 mm Hg. Of the 121 patients referred to their physician, 43 (36%) had a regimen change. A total of 50 patients were screened for stroke risk. Results of the risk assessments for patients screened were normal, 4%; mild, 26%; moderate, 32%; high, 38%. CONCLUSION These projects demonstrated that, through ongoing screening programs, community pharmacists are in an ideal position to screen patients at risk for cardiovascular and cerebrovascular disease and refer patients to their physicians for further evaluation.