Effects of an in-hospital cardiovascular risk factor management strategy post acute myocardial infarction

Cochrane, Bonnie S. (2001) Effects of an in-hospital cardiovascular risk factor management strategy post acute myocardial infarction. Masters thesis, Memorial University of Newfoundland.

[English] PDF (Migrated (PDF/A Conversion) from original format: (application/pdf)) - Accepted Version Available under License - The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission. Download (13MB) [English] PDF - Accepted Version Available under License - The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission. (Original Version)

Abstract

OBJECTIVES: To determine the effectiveness of an in-hospital cardiovascular risk management strategy in Acute Myocardial Infarction patients and to assess roles and responsibilities of cardiology staff for risk factor management. -- METHODS: A descriptive study, based on chart reviews, compared risk factor identification, documentation and management before and after implementation of a risk management strategy. Perceived roles and responsibilities of cardiology staff were determined through surveys. -- RESULTS: The strategy was partially effective. One of seven variables for risk identification and documentation (history of coronary artery disease) achieved statistical significance (p < 0.04). Four of eight management variables (lipid measurement, statin drug utilization, stress counseling and smoking counseling) achieved statistical significance (p < 0.001). Cardiology staff was in near total agreement (98%) with the need for a team approach for in-hospital risk management. -- CONCLUSIONS: Despite improvements, significant future opportunities exist. Chart forms are being revised; a collaborative strategy at the time of re-launch is recommended.

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