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Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center

OBJECTIVE: To evaluate documentation of cardiovascular (CV) risk factors and obesity management by pediatric cardiologists. STUDY DESIGN: Review of medical records of obese (≥95th body mass index percentile) 2–17 year-old children presenting to outpatient pediatric cardiology over 1 year. Subjects w...

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Autores principales: Greco, Margaret, Sood, Arun, Kwon, Soyang, Ariza, Adolfo J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5078118/
https://www.ncbi.nlm.nih.gov/pubmed/27822442
http://dx.doi.org/10.1186/s40064-016-3340-9
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author Greco, Margaret
Sood, Arun
Kwon, Soyang
Ariza, Adolfo J.
author_facet Greco, Margaret
Sood, Arun
Kwon, Soyang
Ariza, Adolfo J.
author_sort Greco, Margaret
collection PubMed
description OBJECTIVE: To evaluate documentation of cardiovascular (CV) risk factors and obesity management by pediatric cardiologists. STUDY DESIGN: Review of medical records of obese (≥95th body mass index percentile) 2–17 year-old children presenting to outpatient pediatric cardiology over 1 year. Subjects were categorized as: heart disease (HD) with increased risk for atherosclerosis; HD with average risk for atherosclerosis; or no HD. Data were evaluated on documentation of the assessment of seven CV risk factors [including recognition of elevated blood pressure (BP)] and management of obesity. Multivariable logistic regression (LR) examined physician documentation of obesity intervention by risk groups, including age and gender. RESULTS: Data on 730 subjects were analyzed; 16 % had HD with increased risk for atherosclerosis, 41 % had HD with average risk for atherosclerosis, and 43 % had no HD. Documentation of risk factor assessment was highest for physical inactivity (53 %) and recognition of obesity (47 %). Other factors (child dyslipidemia, diet, dysglycemia, and cigarette exposure) were documented less frequently. Elevated BP was found in 144 patients (20 %); 53/144 (37 %) had documentation of elevated BP recognition. An obesity intervention was documented in 62 % of records and did not significantly differ between risk groups. In the multivariate LR, physician documentation of obesity intervention did not significantly differ between risk groups. CONCLUSIONS: Complete assessment of CV risk factors in obese patients is low. The number of risk factors assessed was similar among patients with HD with average risk of atherosclerosis and HD with increased risk of atherosclerosis. Increased care coordination between cardiologists and primary care providers may lead to uniform, comprehensive CV risk assessment.
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spelling pubmed-50781182016-11-07 Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center Greco, Margaret Sood, Arun Kwon, Soyang Ariza, Adolfo J. Springerplus Research OBJECTIVE: To evaluate documentation of cardiovascular (CV) risk factors and obesity management by pediatric cardiologists. STUDY DESIGN: Review of medical records of obese (≥95th body mass index percentile) 2–17 year-old children presenting to outpatient pediatric cardiology over 1 year. Subjects were categorized as: heart disease (HD) with increased risk for atherosclerosis; HD with average risk for atherosclerosis; or no HD. Data were evaluated on documentation of the assessment of seven CV risk factors [including recognition of elevated blood pressure (BP)] and management of obesity. Multivariable logistic regression (LR) examined physician documentation of obesity intervention by risk groups, including age and gender. RESULTS: Data on 730 subjects were analyzed; 16 % had HD with increased risk for atherosclerosis, 41 % had HD with average risk for atherosclerosis, and 43 % had no HD. Documentation of risk factor assessment was highest for physical inactivity (53 %) and recognition of obesity (47 %). Other factors (child dyslipidemia, diet, dysglycemia, and cigarette exposure) were documented less frequently. Elevated BP was found in 144 patients (20 %); 53/144 (37 %) had documentation of elevated BP recognition. An obesity intervention was documented in 62 % of records and did not significantly differ between risk groups. In the multivariate LR, physician documentation of obesity intervention did not significantly differ between risk groups. CONCLUSIONS: Complete assessment of CV risk factors in obese patients is low. The number of risk factors assessed was similar among patients with HD with average risk of atherosclerosis and HD with increased risk of atherosclerosis. Increased care coordination between cardiologists and primary care providers may lead to uniform, comprehensive CV risk assessment. Springer International Publishing 2016-10-24 /pmc/articles/PMC5078118/ /pubmed/27822442 http://dx.doi.org/10.1186/s40064-016-3340-9 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research
Greco, Margaret
Sood, Arun
Kwon, Soyang
Ariza, Adolfo J.
Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center
title Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center
title_full Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center
title_fullStr Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center
title_full_unstemmed Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center
title_short Cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center
title_sort cardiovascular risk factor screening and management of obese patients at an outpatient pediatric cardiology center
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5078118/
https://www.ncbi.nlm.nih.gov/pubmed/27822442
http://dx.doi.org/10.1186/s40064-016-3340-9
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