| アブストラクト | BACKGROUND: This study aimed to evaluate the yield of the NHS Health Checks programme. METHODS: A cohort study, conducted in the Clinical Practice Research Datalink in England. Electronic health records were analysed for patients aged 40-74 receiving an NHS Health Check between 2010 and 2013. RESULTS: There were 65 324 men and 75 032 women receiving a health check. For every 1000 men assessed, there were 205 smokers (95% confidence interval 195-215), 355 (340-369) with hypertension (>/=140/90 mmHg) and 633 (607-658) with elevated cholesterol (>/=5 mmol/l). Among 1000 women, there were 161 (151-171) smokers, 247 (238-257) with hypertension and 668 (646-689) with elevated cholesterol. In the 12 months following the check, statins were prescribed to 18% of men and 21% of women with >/=20% cardiovascular risk and antihypertensive drugs to 11% of men and 16% of women with >/=20% cardiovascular risk. Slight reductions in risk factor values were observed in the minority of participants with follow-up values recorded in the 15 months following the check. CONCLUSIONS: A universal primary prevention programme identifies substantial risk factor burden in a population without known cardiovascular disease. Research is needed to monitor interventions, and intermediate- and long-term outcomes, in those identified at high risk. |
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| ジャーナル名 | Journal of public health (Oxford, England) |
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| 投稿日 | 2014/10/19 |
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| 投稿者 | Forster, Alice S; Dodhia, Hiten; Booth, Helen; Dregan, Alex; Fuller, Frances; Miller, Jane; Burgess, Caroline; McDermott, Lisa; Gulliford, Martin C |
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| 組織名 | King's College London, London SE1 3QD, UK.;Lambeth-Southwark Public Health Directorate, London SE1 2QH, UK.;London Borough of Lewisham, London SE6 4RU, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/25326192/ |
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