Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/373
Title: The effect of post-discharge educational intervention on patients in achieving objectives in modifiable risk factors six months after discharge following an episode of acute coronary syndrome, (CAM-2 Project): a randomized controlled trial
Authors: Muñíz, J
Gómez-Doblas, JJ
Santiago-Pérez, MI
Lekuona-Goya, I
Murga-Eizagaetxebarría, N
de Teresa-Galván B, E
Cruz-Fernández, JM
Castro-Beiras, A
metadata.dc.contributor.authoraffiliation: [Muñíz,J; Castro,A] Instituto Universitario de Ciencias de la Salud de la Universidad de A Coruña. Spain. [Gómez_Doblas,JJ; de Teresa-Galván B,E] Servicio de Cardiología. Hospital Universitario Virgen de la Victoria, Malaga. Spain. [Santiago-Pérez,MI] ODDS, S.L., La Coruña, Spain. [Lekuona-Goya,I] Servicio de Cardiología. Hospital Galdakao, Vizcaya, Spain. [Murga-Eizagaetxebarría,N] Servicio de Cardiología. Hospital de Basurto, Vizcaya, Spain. [Cruz-Fernández,JM] Servicio de Cardiología. Hospital Universitario Virgen Macarena, Sevilla, Spain. [Castro-Beiras,A] Servicio de Cardiología. Complejo Hospitalario Universitario de A Coruña, Servicio Galego de Saúde. La Coruña. Spain
metadata.dc.contributor.group: CAM2 Project working group.
Keywords: cardiovascular risk;riesgo cardiovascular;sindrome coronario agudo;Prevención
metadata.dc.subject.mesh: Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia::Acute Coronary Syndrome
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Habits::Smoking
Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Nutrition Disorders::Overnutrition::Obesity
Medical Subject Headings::Chemicals and Drugs::Lipids
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Vital Signs::Blood Pressure
Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia::Angina Pectoris
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Public Health Practice::Secondary Prevention
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Factors::Causality::Risk Factors
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Health Behavior::Patient Compliance::Medication Adherence
Issue Date: 22-Nov-2010
Publisher: BioMed Central
Citation: Muñíz J, Gómez-Doblas JJ, Santiago-Pérez MI, Lekuona-Goya I, Murga-Eizagaetxebarría N, de Teresa-Galván B E, et al. The effect of post-discharge educational intervention on patients in achieving objectives in modifiable risk factors six months after discharge following an episode of acute coronary syndrome, (CAM-2 Project): a randomized controlled trial. Health Qual Life Outcomes. 2010 Nov 22;8:137.
Abstract: We investigated whether an intervention mainly consisting of a signed agreement between patient and physician on the objectives to be reached, improves reaching these secondary prevention objectives in modifiable cardiovascular risk factors six-months after discharge following an acute coronary syndrome. BACKGROUND: There is room to improve mid-term adherence to clinical guidelines' recommendations in coronary heart disease secondary prevention, specially non-pharmacological ones, often neglected. METHODS: In CAM-2, patients discharged after an acute coronary syndrome were randomly assigned to the intervention or the usual care group. The primary outcome was reaching therapeutic objectives in various secondary prevention variables: smoking, obesity, blood lipids, blood pressure control, exercise and taking of medication. RESULTS: 1757 patients were recruited in 64 hospitals and 1510 (762 in the intervention and 748 in the control group) attended the six-months follow-up visit. After adjustment for potentially important variables, there were, between the intervention and control group, differences in the mean reduction of body mass index (0.5 vs. 0.2; p < 0.001) and waist circumference (1.6 cm vs. 0.6 cm; p = 0.05), proportion of patients who exercise regularly and those with total cholesterol below 175 mg/dl (64.7% vs. 56.5%; p = 0.001). The reported intake of medications was high in both groups for all the drugs considered with no differences except for statins (98.1% vs. 95.9%; p = 0.029). CONCLUSIONS: At least in the short term, lifestyle changes among coronary heart disease patients are achievable by intensifying the responsibility of the patient himself by means of a simple and feasible intervention.
URI: http://hdl.handle.net/10668/373
metadata.dc.relation.publisherversion: http://www.hqlo.com/content/8/1/137
metadata.dc.identifier.doi: 10.1186/1477-7525-8-137
ISSN: 1477-7525
Appears in Collections:01- Artículos - Hospital Virgen de la Victoria
01- Artículos - Hospital Virgen Macarena

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