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GP detection of health risk factors among general practice patients at risk of primary and secondary stroke.
- Source :
-
Family practice [Fam Pract] 2015 Jun; Vol. 32 (3), pp. 336-42. Date of Electronic Publication: 2015 Apr 21. - Publication Year :
- 2015
-
Abstract
- Background: People with a history of stroke or heart disease are at increased risk of future stroke; therefore, identification of risk factors by GPs is critical.<br />Objectives: To compare the following among general practice patients with and without a history of stroke or heart disease: (i) self-reported prevalence rates of lifestyle risk factors; (ii) accuracy of GP detection of patient-reported risk factors and (iii) average proportion of patient-reported risk factors detected by GPs.<br />Methods: Consecutive patients attending a participating general practice clinic were invited to participate in a cross-sectional touchscreen survey assessing lifestyle risk factors in 2010-11. The GP of each consenting patient completed a corresponding survey assessing the patient's risk factors. Demographic characteristics of patients and GPs were obtained.<br />Results: Data from 51 GPs and 564 patients were analysed. Patients without a history of stroke or heart disease reported significantly higher rates of smoking (12%) and risky alcohol consumption (56%) than patients with a history of stroke or heart disease (6% and 36%, respectively). Low sensitivity of GP detection of risk factors was found for all risk factors for all patients. Patients with a history of stroke or heart disease have a significantly higher mean proportion of risk factors detected by their GP compared to patients without a history of stroke or heart disease (P = 0.00).<br />Conclusion: Given low sensitivity and specificity of GP detection of risk factors among patients, alternate methods of identification are needed. Research is required to determine strategies to facilitate secondary care of patients with a history of stroke or heart disease by GPs.<br /> (© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Subjects :
- Adolescent
Adult
Aged
Alcohol Drinking adverse effects
Body Mass Index
Clinical Competence statistics & numerical data
Cross-Sectional Studies
Female
Health Surveys
Heart Diseases complications
Heart Diseases etiology
Humans
Male
Middle Aged
Motor Activity physiology
New South Wales
Risk Assessment methods
Risk Assessment statistics & numerical data
Smoking adverse effects
Stroke etiology
Victoria
Young Adult
General Practitioners statistics & numerical data
Health Behavior
Heart Diseases prevention & control
Practice Patterns, Physicians' statistics & numerical data
Secondary Prevention methods
Stroke prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1460-2229
- Volume :
- 32
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Family practice
- Publication Type :
- Academic Journal
- Accession number :
- 25900676
- Full Text :
- https://doi.org/10.1093/fampra/cmv024