摘要
目的:冠状动脉疾病(CAD)是目前世界范围内危害人类健康的主要疾病,降低CAD的发病率进而减轻相关的疾病负担成为心血管疾病防治领域的重点,有效地实施冠心病二级预防的指南已成为许多国家改善心脏病临床实践的主要目标,中国冠心病二级预防架桥工程(BRIG)研究基线调查旨在全面如实地反映中国冠心病(CAD)诊疗及二级预防现状,发现、确定当前中国CAD二级预防在临床实践中存在的问题、障碍和主要影响因素。方法:在中国31个省市自治区选择32家三级医院和32家二级医院,每家医院选择住院患者和门诊患者各50例,采用问卷回顾和门诊访谈形式,收集住院患者和门诊患者二级预防信息。结论:BRIG基线调查资料最大程度地涵盖了中国不同地区生产总值(GDP)水平、不同级别医院,从而使我们获得较为全面的反映全国范围不同地区,不同级别医院急性冠脉综合征(ACS)的诊断治疗和二级预防的状况;基线资料将比较全面地展示中国目前CAD诊疗、预防中存在的问题及与指南间的差距,为问题的分析和改善提供依据。
Objective： Coronary Artery Disease （CAD） is the leading cause of morbidity and mortality throughout the world. The absolute burden of CAD mortality is high in economically developing countries especially in China, the economic and social consequences of cardiovascular disease in developing countries have been highlighted and prevention of acute heart events is becoming the major problem of public health. Current challenges for health services research are to strengthen, sustain, and disseminate practice interventions that improve the quality of care, promote access for those with unmet need, and increase efficiency so that care is affordable for all. BRIG is a qualitative, longitudinal, interventional survey on patients with CHD. The aim of baseline survey of BRIG project is to demonstrate current clinical pattern of secondary prevention for CAD in China. Method： 64 hospitals across China, involving 6 000 patients, including 3 000 in-patients and 3 000 out-patients with CAD were included and standard questionnaires were used to get baseline information on patients demographic, treatment practice and in-hospital outcome. Conclusion： The baseline survey of BRIG project will provide nationwide insight into contemporary practice patterns in the management of patients with CAD, demographic and medical characteristics of patients. The findings from BRIG will identify dominant factors to implementation practice and areas requiring further emphases on health care in China.
出处
《心肺血管病杂志》
CAS
2008年第1期37-41,62,共6页
Journal of Cardiovascular and Pulmonary Diseases
基金
世界心脏联盟(WHF)示范项目
关键词
冠状动脉疾病
实施研究
二级预防
指南
Coronary artery disease
Implementation research
Secondary prevention
Guideline
