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Auditing secondary prevention of ischemic heart disease in rural areas of Spain: an opportunity for improvement.

José M. Turón1, Julián Librero1,2, Gabriel J. Diaz, Juan J. García, Carme Beltral and Francisco Abal, on behalf of the REDIMER study group (semFYC).

1. Instituto Aragonés de Ciencias de la Salud 2. Fundación Instituto de Investigación en Servicios de Salud

Correspondence to José M. Turón; E mail: jmturon60@ . REDIAPP Aragón. Paseo Sagasta 52, planta 6ª, 50008 Zaragoza (Spain)

Telephone number 699 827850

AUDITING SECONDARY PREVENTION OF ISCHEMIC HEART DISEASE IN RURAL AREAS OF SPAIN: AN OPPORTUNITY FOR IMPROVEMENT

Aim

To describe the standard of secondary prevention received by individuals with a history of ischemic heart disease (IHD) in Spanish rural areas, and the factors associated with the low standards of quality.

Methods

Medical audit. Patients with a history of IHD, whose data were contributed by 72 rural physicians in 12 autonomous regions (1030 cases). Quality criteria were used based on international guidelines. Multivariate analysis was employed to assess the variables associated with poor quality attention.

Results

30.9% of patients gave target Low Density Lipoprotein (LDL) readings and 68.1% reached the target Blood Pressure (BP). 48.5% took beta blockers. 29% of patients had not visited a specialist within the previous year. The fact that patients had visited a specialist within the previous year was associated with their having followed the types of treatments recommended in the guidelines (p< 0.01) and with obtaining target LDL and BP readings (p ................
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