Assessing the impact of the heart of New Ulm Project on cardiovascular disease risk factors: A population-based program to reduce cardiovascular disease

PREVENTIVE MEDICINE

卷:112

Article

Sidebottom, Abbey C.¹  Sillah, Arthur¹  Vock, David M.²  Miedema, Michael D.^3,4  Pereira, Raquel³  Benson, Gretchen³  Lindberg, Rebecca³  Boucher, Jackie L.⁵  Knickelbine, Thomas⁴  VanWormer, Jeffrey J.⁶ 

[1] Allina Hlth, 2925 Chicago Ave, Minneapolis, MN USA

[2] Univ Minnesota, Sch Publ Hlth, Div Biostat, A460 Mayo Bldg,MMC303,420 Delaware St SE, Minneapolis, MN 55455 USA

[3] Minneapolis Heart Inst Fdn, 920 East 28th St,Suite 100, Minneapolis, MN USA

[4] Minneapolis Heart Inst, 920 East 28th St,Suite 300, Minneapolis, MN USA

[5] Childrens HeartLink, 5075 Arcadia Ave, Edina, MN USA

[6] Marshfield Clin Res Fdn, Ctr Clin Epidemiol & Populat Hlth, 1000 North Oak Ave, Marshfield, WI USA

关键词: Prevention;    Community;    Blood pressure;    Cholesterol;    Population;    Electronic health records;    Cardiovascular disease;   

DOI  :  10.1016/j.ypmed.2018.04.016

来源: Elsevier

【 摘 要 】

The Heart of New Ulm Project (HONU), is a population-based project designed to reduce modifiable cardiovascular disease (CVD) risk factors in the rural community of New Ulm, MN. HONU interventions address multiple levels of the social-ecological model. The community is served by one health system, enabling the use of electronic health record (EHR) data for surveillance. The purpose of this study was to assess if trends in CVD risk factors and healthcare utilization differed between a cohort of New Ulm residents age 40-79 and matched controls selected from a similar community, using EHR data from baseline (2008-2009) through three follow up time periods (2010-2011, 2012-2013, 2014-2015). Matching, using covariate balance sparse technique, yielded a sample of 4077 New Ulm residents and 4077 controls. We used mixed effects longitudinal models to examine trends over time between the two groups. Blood pressure, total cholesterol, low-density lipoprotein-cholesterol, and triglycerides showed better management in New Ulm over time compared to the controls. The proportion of residents in New Ulm with controlled blood pressure increased by 6.2 percentage points compared to an increase of 2 points in controls (p < 0.0001). As the cohort aged, 10-year ASCVD risk scores increased less in New Ulm (5.1) than the comparison community (5.9). The intervention and control community did not differ with regard to inpatient stays, smoking, or glucose. Findings suggest efficacy for the HONU project interventions for some outcomes.

【 授权许可】

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