A Case-Finding Protocol for High Cardiovascular Risk in a Primary Care Dental School-Model with Integrated Care
National Health Service (NHS) strategies in the United Kingdom (UK) have highlighted the need to maximise case-finding opportunities by improving coverage in non-traditional settings with the aim of reducing delayed diagnosis of non-communicable diseases. Primary care dental settings may also help t...
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| Veröffentlicht in: | International journal of environmental research and public health 2023-03, Vol.20 (6), p.4959 |
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| creator | Doble, Amazon Bescos, Raul Witton, Robert Shivji, Shabir Ayres, Richard Brookes, Zoë |
| description | National Health Service (NHS) strategies in the United Kingdom (UK) have highlighted the need to maximise case-finding opportunities by improving coverage in non-traditional settings with the aim of reducing delayed diagnosis of non-communicable diseases. Primary care dental settings may also help to identify patients.
Case-finding appointments took place in a primary care dental school. Measurements of blood pressure, body mass index (BMI), cholesterol, glucose and QRisk were taken along with a social/medical history. Participants with high cardiometabolic risk were referred to their primary care medical general practitioner (GP) and/or to local community health self-referral services, and followed up afterwards to record diagnosis outcome.
A total of 182 patients agreed to participate in the study over a 14-month period. Of these, 123 (67.5%) attended their appointment and two participants were excluded for age. High blood pressure (hypertension) was detected in 33 participants, 22 of whom had not been previous diagnosed, and 11 of whom had uncontrolled hypertension. Of the hypertensive individuals with no previous history, four were confirmed by their GP. Regarding cholesterol, 16 participants were referred to their GP for hypercholesterolaemia: 15 for untreated hypercholesterolaemia and one for uncontrolled hypercholesterolaemia.
Case-finding for hypertension and identifying cardiovascular risk factors has high acceptability in a primary dental care setting and supported by confirmational diagnoses by the GP. |
| doi_str_mv | 10.3390/ijerph20064959 |
| format | Article |
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Case-finding appointments took place in a primary care dental school. Measurements of blood pressure, body mass index (BMI), cholesterol, glucose and QRisk were taken along with a social/medical history. Participants with high cardiometabolic risk were referred to their primary care medical general practitioner (GP) and/or to local community health self-referral services, and followed up afterwards to record diagnosis outcome.
A total of 182 patients agreed to participate in the study over a 14-month period. Of these, 123 (67.5%) attended their appointment and two participants were excluded for age. High blood pressure (hypertension) was detected in 33 participants, 22 of whom had not been previous diagnosed, and 11 of whom had uncontrolled hypertension. Of the hypertensive individuals with no previous history, four were confirmed by their GP. Regarding cholesterol, 16 participants were referred to their GP for hypercholesterolaemia: 15 for untreated hypercholesterolaemia and one for uncontrolled hypercholesterolaemia.
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Case-finding appointments took place in a primary care dental school. Measurements of blood pressure, body mass index (BMI), cholesterol, glucose and QRisk were taken along with a social/medical history. Participants with high cardiometabolic risk were referred to their primary care medical general practitioner (GP) and/or to local community health self-referral services, and followed up afterwards to record diagnosis outcome.
A total of 182 patients agreed to participate in the study over a 14-month period. Of these, 123 (67.5%) attended their appointment and two participants were excluded for age. High blood pressure (hypertension) was detected in 33 participants, 22 of whom had not been previous diagnosed, and 11 of whom had uncontrolled hypertension. Of the hypertensive individuals with no previous history, four were confirmed by their GP. Regarding cholesterol, 16 participants were referred to their GP for hypercholesterolaemia: 15 for untreated hypercholesterolaemia and one for uncontrolled hypercholesterolaemia.
Case-finding for hypertension and identifying cardiovascular risk factors has high acceptability in a primary dental care setting and supported by confirmational diagnoses by the GP.</description><subject>Antilipemic agents</subject><subject>Blood pressure</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cholesterol</subject><subject>Clinics</subject><subject>Collaboration</subject><subject>Confidentiality</subject><subject>Delivery of Health Care, Integrated</subject><subject>Dental care</subject><subject>Dental schools</subject><subject>Dentists</subject><subject>Diabetes</subject><subject>Diagnosis</subject><subject>Glucose</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health risks</subject><subject>Health services</subject><subject>Heart attacks</subject><subject>Heart Disease Risk Factors</subject><subject>Humans</subject><subject>Hypercholesterolemia</subject><subject>Hypercholesterolemia - complications</subject><subject>Hyperglycemia</subject><subject>Hypertension</subject><subject>Hypertension - complications</subject><subject>Hypertension - epidemiology</subject><subject>Measurement</subject><subject>Medical research</subject><subject>Medical screening</subject><subject>Medicine, Experimental</subject><subject>Patients</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Risk Factors</subject><subject>Schools, Dental</subject><subject>Social history</subject><subject>State Medicine</subject><subject>Stroke</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkk1v1DAQhiMEoqVw5YgsceGSYseOHZ_QaqG0UhGIj7Pl2OPES9be2kkR_x4vLdUWVT6M5Xnm9czoraqXBJ9SKvFbv4G0GxuMOZOtfFQdE85xzTgmjw_uR9WznDcY045x-bQ6olx2pOPdcRVXaK0z1Gc-WB8G9CXFOZo4IRcTOvfDWNLJ-nits1kmndBXn38iH5AuqN_q9HsPAHoPYdYT-mbGGKf6U7QwoV9-HtFFmGFIegb7F3xePXF6yvDiNp5UP84-fF-f15efP16sV5e1YZjIWmsrie57Cs7anknBXOdcR23fg-Etk7bl0jWCAAVDORa2AS5aJgijQrSGnlTvbnR3S78Fa0p7SU9qd9Ozitqr-5ngRzXEa0UwZrJpuqLw5lYhxasF8qy2PhuYJh0gLlk1QjYtFrKjBX39H7qJSwplvj1FeNs05IAa9ATKBxfLx2YvqlaiJZKQjpBCnT5AlWNh600M4Hx5f6jApJhzAnc3JMFq7xF13yOl4NXhau7wf6agfwCxRLdu</recordid><startdate>20230311</startdate><enddate>20230311</enddate><creator>Doble, Amazon</creator><creator>Bescos, Raul</creator><creator>Witton, Robert</creator><creator>Shivji, Shabir</creator><creator>Ayres, Richard</creator><creator>Brookes, Zoë</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3939-4743</orcidid><orcidid>https://orcid.org/0000-0001-9658-030X</orcidid><orcidid>https://orcid.org/0000-0002-6424-4376</orcidid></search><sort><creationdate>20230311</creationdate><title>A Case-Finding Protocol for High Cardiovascular Risk in a Primary Care Dental School-Model with Integrated Care</title><author>Doble, Amazon ; 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Primary care dental settings may also help to identify patients.
Case-finding appointments took place in a primary care dental school. Measurements of blood pressure, body mass index (BMI), cholesterol, glucose and QRisk were taken along with a social/medical history. Participants with high cardiometabolic risk were referred to their primary care medical general practitioner (GP) and/or to local community health self-referral services, and followed up afterwards to record diagnosis outcome.
A total of 182 patients agreed to participate in the study over a 14-month period. Of these, 123 (67.5%) attended their appointment and two participants were excluded for age. High blood pressure (hypertension) was detected in 33 participants, 22 of whom had not been previous diagnosed, and 11 of whom had uncontrolled hypertension. Of the hypertensive individuals with no previous history, four were confirmed by their GP. Regarding cholesterol, 16 participants were referred to their GP for hypercholesterolaemia: 15 for untreated hypercholesterolaemia and one for uncontrolled hypercholesterolaemia.
Case-finding for hypertension and identifying cardiovascular risk factors has high acceptability in a primary dental care setting and supported by confirmational diagnoses by the GP.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36981868</pmid><doi>10.3390/ijerph20064959</doi><orcidid>https://orcid.org/0000-0002-3939-4743</orcidid><orcidid>https://orcid.org/0000-0001-9658-030X</orcidid><orcidid>https://orcid.org/0000-0002-6424-4376</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Antilipemic agents Blood pressure Body mass Body mass index Body size Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Cholesterol Clinics Collaboration Confidentiality Delivery of Health Care, Integrated Dental care Dental schools Dentists Diabetes Diagnosis Glucose Health care Health care access Health risks Health services Heart attacks Heart Disease Risk Factors Humans Hypercholesterolemia Hypercholesterolemia - complications Hyperglycemia Hypertension Hypertension - complications Hypertension - epidemiology Measurement Medical research Medical screening Medicine, Experimental Patients Primary care Primary Health Care Risk Factors Schools, Dental Social history State Medicine Stroke |
| title | A Case-Finding Protocol for High Cardiovascular Risk in a Primary Care Dental School-Model with Integrated Care |
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