[PP.LB02.13] RESULTS OF 10 YEARS (2004–2014) OF CARDIOVASCULAR HEALTH PROGRAM (CHP) IN THE EAST METROPOLITAN HEALTH SERVICE (EMHS) OF SANTIAGO, CHILE

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Abstract

Objective:

The Cardiovascular Health Program is an important strategy of the Chilean Ministry of Health since 2004, which was established as a national program to reduce morbidity and mortality associated with cardiovascular disease. To implement the CHP in our EMHS, different educational, monitoring and therapeutic interventions were developed during this period. Our goal is to present the results of 10 years of implementation of the program and local strategies.

Design and method:

Descriptive longitudinal study of patients admitted and followed-up in the CHP -EMHS between 1/July/20004 until to 31/12/2014. The most important strategies applied were implementation of the anti-tobacco law since 2008; standardized scheme of pharmacological treatment of hypertension, type STITCH since 2010; eduacation of the health teams and patients in early insulinization since 2010; detection and diagnosis of Chronic Kidney Disease (CKD) since 2010. Data were obtained every 6 months from the compulsory registration (REM-14) of the CHP-EMHS sent by PHC centers (18). The information was processed in statistical software GraphPad 6.1.

Results:

The assigned population EMHS, who enlisted in the CHP, increased 18 to 24% between 2004–2014. With the strategies implemented an increase in BP control in 32% of patients was obtained; better metabolic control of diabetics by 23.2%, a decrease in smoking prevalence of 28.9% and an increase in detecion and diagnosis of CKD in high-risk groups, with a prevalence of 39.5% in 2014.There being a specific strategy to tackle obesity, increased prevalence of 6% is observed during the decade. Compared with patients who are not in such CHP, enrolled patients have 1/3 of mortality than those who are not enrolled.

Conclusions:

Patients enrolled and followed-up in the CHP of the EMHS, have improved control and cardiovascular mortality, compared to those who are not in the program. The implemetation was successful using known and proven strategies that combine education, adherence and standardized treatment of cardiovascular diseases.

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