Simplifying the audit of risk factor recording and control: A report from an international study in 11 countries

Min Zhao; Marie Therese Cooney; Kerstin Klipstein-Grobusch; Ilonca Vaartjes; Dirk De Bacquer; Johan De Sutter; Željko Reiner; Eva Prescott; Pompilio Faggiano; Diego Vanuzzo; Hussam AlFaleh; Ian Ba Menown; Dan Gait; Nana Posogova; Wayne H-H Sheu; Dong Zhao; Huijuan Zuo; Diederick E Grobbee; Ian M Graham

doi:10.1177/2047487316647827

Simplifying the audit of risk factor recording and control: A report from an international study in 11 countries

Min Zhao, Marie Therese Cooney, Kerstin Klipstein-Grobusch, Ilonca Vaartjes, Dirk De Bacquer, Johan De Sutter, Željko Reiner, Eva Prescott, Pompilio Faggiano, Diego Vanuzzo, Hussam AlFaleh, Ian Ba Menown, Dan Gait, Nana Posogova, Wayne H-H Sheu, Dong Zhao, Huijuan Zuo, Diederick E Grobbee, Ian M Graham

Department of Clinical Medicine

26 Citations (Scopus)

Abstract

Background To simplify the assessment of the recording and control of coronary heart disease risk factors in different countries and regions. Design The SUrvey of Risk Factors (SURF) is an international clinical audit. Methods Data on consecutive patients with established coronary heart disease from countries in Europe, Asia and the Middle East were collected on a one-page collection sheet or electronically during routine clinic visits. Information on demographics, diagnostic category, risk factors, physical and laboratory measurements, and medications were included and key variables summarized in a Cardiovascular Health Index Score. Results Coronary heart disease patients (N = 10,186; 29% women) were enrolled from 79 centres in 11 countries. Recording of risk factors varied considerably: smoking was recorded in over 98% of subjects, while about 20% lacked data on laboratory measurements relevant to cardiovascular disease risk. Sixteen per cent of participants reported smoking, 29% were obese, and 46% had abdominal obesity. Sixty per cent of participants had blood pressure <140/90 mmHg (140/80 mmHg for diabetics), 48% had HbA1c<7%, 30% had low-density lipoprotein <1.8 mmol/l and 17% had a good cardiovascular health index score. There were substantial regional variations. Less than 3% of patients attended cardiac rehabilitation in Asia or the Middle East, compared with 45% in Europe. In Asia, 15% of patients had low-density lipoprotein cholesterol <1.8 mmol/l compared with 33% in Europe and 36% in the Middle East. Variations in medications were noted, with lower use of statins in Asia. Conclusions SURF proved to be practical in daily practice. Results indicated poor control of risk factors with substantial variation between countries, calling for development and implementation of clinical standards of secondary prevention of coronary heart disease.

Original language	English
Journal	European Journal of Preventive Cardiology
Volume	23
Issue number	11
Pages (from-to)	1202-10
Number of pages	9
ISSN	2047-4873
DOIs	https://doi.org/10.1177/2047487316647827
Publication status	Published - 1 Jul 2016

Keywords

Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/2047487316647827

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Zhao, M., Cooney, M. T., Klipstein-Grobusch, K., Vaartjes, I., De Bacquer, D., De Sutter, J., Reiner, Ž., Prescott, E., Faggiano, P., Vanuzzo, D., AlFaleh, H., Menown, I. B., Gait, D., Posogova, N., Sheu, W. H-H., Zhao, D., Zuo, H., Grobbee, D. E., & Graham, I. M. (2016). Simplifying the audit of risk factor recording and control: A report from an international study in 11 countries. European Journal of Preventive Cardiology, 23(11), 1202-10. https://doi.org/10.1177/2047487316647827

Zhao, M, Cooney, MT, Klipstein-Grobusch, K, Vaartjes, I, De Bacquer, D, De Sutter, J, Reiner, Ž, Prescott, E, Faggiano, P, Vanuzzo, D, AlFaleh, H, Menown, IB, Gait, D, Posogova, N, Sheu, WH-H, Zhao, D, Zuo, H, Grobbee, DE & Graham, IM 2016, 'Simplifying the audit of risk factor recording and control: A report from an international study in 11 countries', European Journal of Preventive Cardiology, vol. 23, no. 11, pp. 1202-10. https://doi.org/10.1177/2047487316647827

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abstract = "Background To simplify the assessment of the recording and control of coronary heart disease risk factors in different countries and regions. Design The SUrvey of Risk Factors (SURF) is an international clinical audit. Methods Data on consecutive patients with established coronary heart disease from countries in Europe, Asia and the Middle East were collected on a one-page collection sheet or electronically during routine clinic visits. Information on demographics, diagnostic category, risk factors, physical and laboratory measurements, and medications were included and key variables summarized in a Cardiovascular Health Index Score. Results Coronary heart disease patients (N = 10,186; 29% women) were enrolled from 79 centres in 11 countries. Recording of risk factors varied considerably: smoking was recorded in over 98% of subjects, while about 20% lacked data on laboratory measurements relevant to cardiovascular disease risk. Sixteen per cent of participants reported smoking, 29% were obese, and 46% had abdominal obesity. Sixty per cent of participants had blood pressure <140/90 mmHg (140/80 mmHg for diabetics), 48% had HbA1c<7%, 30% had low-density lipoprotein <1.8 mmol/l and 17% had a good cardiovascular health index score. There were substantial regional variations. Less than 3% of patients attended cardiac rehabilitation in Asia or the Middle East, compared with 45% in Europe. In Asia, 15% of patients had low-density lipoprotein cholesterol <1.8 mmol/l compared with 33% in Europe and 36% in the Middle East. Variations in medications were noted, with lower use of statins in Asia. Conclusions SURF proved to be practical in daily practice. Results indicated poor control of risk factors with substantial variation between countries, calling for development and implementation of clinical standards of secondary prevention of coronary heart disease.",

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author = "Min Zhao and Cooney, {Marie Therese} and Kerstin Klipstein-Grobusch and Ilonca Vaartjes and {De Bacquer}, Dirk and {De Sutter}, Johan and {\v Z}eljko Reiner and Eva Prescott and Pompilio Faggiano and Diego Vanuzzo and Hussam AlFaleh and Menown, {Ian Ba} and Dan Gait and Nana Posogova and Sheu, {Wayne H-H} and Dong Zhao and Huijuan Zuo and Grobbee, {Diederick E} and Graham, {Ian M}",

note = "{\textcopyright} The European Society of Cardiology 2016.",

year = "2016",

month = jul,

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doi = "10.1177/2047487316647827",

language = "English",

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TY - JOUR

T1 - Simplifying the audit of risk factor recording and control

T2 - A report from an international study in 11 countries

AU - Zhao, Min

AU - Cooney, Marie Therese

AU - Klipstein-Grobusch, Kerstin

AU - Vaartjes, Ilonca

AU - De Bacquer, Dirk

AU - De Sutter, Johan

AU - Reiner, Željko

AU - Prescott, Eva

AU - Faggiano, Pompilio

AU - Vanuzzo, Diego

AU - AlFaleh, Hussam

AU - Menown, Ian Ba

AU - Gait, Dan

AU - Posogova, Nana

AU - Sheu, Wayne H-H

AU - Zhao, Dong

AU - Zuo, Huijuan

AU - Grobbee, Diederick E

AU - Graham, Ian M

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Background To simplify the assessment of the recording and control of coronary heart disease risk factors in different countries and regions. Design The SUrvey of Risk Factors (SURF) is an international clinical audit. Methods Data on consecutive patients with established coronary heart disease from countries in Europe, Asia and the Middle East were collected on a one-page collection sheet or electronically during routine clinic visits. Information on demographics, diagnostic category, risk factors, physical and laboratory measurements, and medications were included and key variables summarized in a Cardiovascular Health Index Score. Results Coronary heart disease patients (N = 10,186; 29% women) were enrolled from 79 centres in 11 countries. Recording of risk factors varied considerably: smoking was recorded in over 98% of subjects, while about 20% lacked data on laboratory measurements relevant to cardiovascular disease risk. Sixteen per cent of participants reported smoking, 29% were obese, and 46% had abdominal obesity. Sixty per cent of participants had blood pressure <140/90 mmHg (140/80 mmHg for diabetics), 48% had HbA1c<7%, 30% had low-density lipoprotein <1.8 mmol/l and 17% had a good cardiovascular health index score. There were substantial regional variations. Less than 3% of patients attended cardiac rehabilitation in Asia or the Middle East, compared with 45% in Europe. In Asia, 15% of patients had low-density lipoprotein cholesterol <1.8 mmol/l compared with 33% in Europe and 36% in the Middle East. Variations in medications were noted, with lower use of statins in Asia. Conclusions SURF proved to be practical in daily practice. Results indicated poor control of risk factors with substantial variation between countries, calling for development and implementation of clinical standards of secondary prevention of coronary heart disease.

AB - Background To simplify the assessment of the recording and control of coronary heart disease risk factors in different countries and regions. Design The SUrvey of Risk Factors (SURF) is an international clinical audit. Methods Data on consecutive patients with established coronary heart disease from countries in Europe, Asia and the Middle East were collected on a one-page collection sheet or electronically during routine clinic visits. Information on demographics, diagnostic category, risk factors, physical and laboratory measurements, and medications were included and key variables summarized in a Cardiovascular Health Index Score. Results Coronary heart disease patients (N = 10,186; 29% women) were enrolled from 79 centres in 11 countries. Recording of risk factors varied considerably: smoking was recorded in over 98% of subjects, while about 20% lacked data on laboratory measurements relevant to cardiovascular disease risk. Sixteen per cent of participants reported smoking, 29% were obese, and 46% had abdominal obesity. Sixty per cent of participants had blood pressure <140/90 mmHg (140/80 mmHg for diabetics), 48% had HbA1c<7%, 30% had low-density lipoprotein <1.8 mmol/l and 17% had a good cardiovascular health index score. There were substantial regional variations. Less than 3% of patients attended cardiac rehabilitation in Asia or the Middle East, compared with 45% in Europe. In Asia, 15% of patients had low-density lipoprotein cholesterol <1.8 mmol/l compared with 33% in Europe and 36% in the Middle East. Variations in medications were noted, with lower use of statins in Asia. Conclusions SURF proved to be practical in daily practice. Results indicated poor control of risk factors with substantial variation between countries, calling for development and implementation of clinical standards of secondary prevention of coronary heart disease.

KW - Journal Article

U2 - 10.1177/2047487316647827

DO - 10.1177/2047487316647827

M3 - Journal article

C2 - 27118362

SN - 2047-4873

VL - 23

SP - 1202

EP - 1210

JO - European Journal of Preventive Cardiology

JF - European Journal of Preventive Cardiology

IS - 11

ER -

Simplifying the audit of risk factor recording and control: A report from an international study in 11 countries

Abstract

Keywords

UN SDGs

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