IJERPH, Vol. 15, Pages 724: Outcomes of Secondary Prevention among Coronary Heart Disease Patients in a High-Risk Region in Finland

IJERPH, Vol. 15, Pages 724: Outcomes of Secondary Prevention among Coronary Heart Disease Patients in a High-Risk Region in Finland International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040724 Authors: Teppo Repo Markku Tykkyläinen Juha Mustonen Tuomas Rissanen Matti Ketonen Maija Toivakka Tiina Laatikainen Despite comprehensive national treatment guidelines, goals for secondary prevention of coronary heart disease (CHD) have not been sufficiently met everywhere in Finland. We investigated the recorded risk factor rates of CHD and their spatial differences in North Karelia Hospital District, which has a very high cardiovascular burden, in order to form a general view of the state of secondary prevention in a high-risk region. Appropriate disease codes of CHD-diagnoses and coding for percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) were used to identify from the electronic patient records the patient group eligible for secondary prevention. The cumulative incidence rate of new patients (n = 2556) during 2011–2014 varied from 1.9% to 3.5% between municipalities. The success in secondary prevention of CHD was assessed using achievement of treatment targets as defined in national guidelines. Health centres are administrated by municipalities whereupon the main reporting units were municipalities, together with composed classification of patients by age, gender and dwelling location. Health ...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research