Kardiovaskuläre Beratung und Prävention in der hausärztlichen Praxis aus Public Health Perspektive. Eine Auswertung von 4729 Beratungsfällen.
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Abstract
Background Cardiovascular diseases are of outstanding importance for public health and primary care because of their high prevalence and disease burden. The assessment of the individual cardiovascular risk is a central element of cardiovascular prevention. The arriba-software offers a risk calculator and a platform that helps implementing the shared decision process between the family practitioner and his or her patient to assess whether a risk reduction is needed or not. The risk algorithm used in arriba is based on the Framingham Study, having been adapted to the German general population. To date, it was not known who is being counselled in general practice with arriba on cardiovascular risk and how that population might differ from the general population in Germany.
Methods This study analysed data from 4729 consultations and was part of the longitudinal cohort study arriba-pro. arriba-pro was embedded into the gatekeeping model of the AOK-Baden-Württemberg. Its study aim was to validate the risk algorithm used in arriba. The baseline data from patients enrolled in the gatekeeping model who were counselled using arriba were automatically saved. The data was then sent in a pseudonymised format to the study centre. The data contained demographic information and cardiovascular risk data. After statistical adjustment the results were compared with representative data from the general population.
Results 57% of the 4729 counselled patients were female; the mean age was 60 years. At the time of consultation, 7% of the patients had a manifest arteriosclerotic disease (cardiovascular heart disease, status after stroke or peripheral occlusive disease). A cardiovascular risk below 10% was observed in 68% of women and 17% of men. 12% of women and 37% of men had a risk above 20%. Compared to the general population, there were fewer smokers in the arriba population; blood pressure and cholesterol levels were higher. There is evidence that arriba is used primarily in primary prevention.
Conclusions As total cardiovascular risk of men counselled with arriba was above that of women, the data suggests that women are counselled with arriba even when having a lower a cardiovascular risk. There are several possible reasons. For example, it is known from the literature that women attend screening visits more often than men. As arriba is being primarily used in primary prevention, it is made evident that secondary prevention needs to be emphasised. Further, specific focus needs to be placed on vulnerable populations with high cardiovascular risk.
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Dates
Issued: 2026-03-23
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FB20:Medizin
Language
de
Keywords
AllgemeimedizinPräventionPublic HealthKardiovaskuläres RisikoVersorgungsforschung
DFG-subjects
2.22-02 - Public Health, Gesundheitsbezogene Versorgungsforschung, Sozial- und Arbeitsmedizin
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Celemin-Heinrich, Salome: Kardiovaskuläre Beratung und Prävention in der hausärztlichen Praxis aus Public Health Perspektive. Eine Auswertung von 4729 Beratungsfällen.. : 2026-03-23.
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This item has been published with the following license: In Copyright