Review: counselling and education reduce cardiovascular risk factors but not mortality [commentary on Ebrahim S, Davey Smith G. Multiple risk factor interventions for primary prevention of coronary heart disease (Cochrane Review, latest version 24 February 1999) In: Cochrane Library. Oxford: Update Software].
QUESTION: In people without evidence of established cardiovascular disease, do counselling or educational interventions reduce cardiovascular risk factors, deaths from all causes, and deaths from coronary artery disease (CAD)? Data sources: Studies were identified using Medline (1966 to April 1990),...
| Publicado en: | Evidence Based Nursing pp. 22 - 23 |
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| Autor principal: | |
| Formato: | abstract commentary Journal Article |
| Publicado: |
BMJ Publishing Group
Jan2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107105054&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107105054 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13676539 C0J jtl: Evidence Based Nursing issn: 13676539 maglogo: N pubinfo: dt: Jan2000 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 107105054 107105054 2000023892 107105054 ppf: 22 ppct: 1 formats: tig: atl: Review: counselling and education reduce cardiovascular risk factors but not mortality [commentary on Ebrahim S, Davey Smith G. Multiple risk factor interventions for primary prevention of coronary heart disease (Cochrane Review, latest version 24 February 1999) In: Cochrane Library. Oxford: Update Software]. aug: au: Newman M affil: Senior Lecturer, School of Health, Biological and Environmental Sciences, Middlesex University & Barnet & Chase Farm Hospitals NHS Trust, London, UK sug: subj: Coronary Disease Prevention and Control Cardiovascular Risk Factors Prevention and Control Coronary Disease Mortality Coronary Disease Education Hypertension Prevention and Control Hypertension Drug Therapy Patient Education Smoking Cessation Cholesterol Blood Health Promotion Counseling Health Policy Research Methodology Confidence Intervals Odds Ratio Clinical Trials Meta Analysis Treatment Outcomes ab: QUESTION: In people without evidence of established cardiovascular disease, do counselling or educational interventions reduce cardiovascular risk factors, deaths from all causes, and deaths from coronary artery disease (CAD)? Data sources: Studies were identified using Medline (1966 to April 1990), bibliographies of relevant studies, and be contacting experts. Study selection: Studies were selected if they were randomised controlled trials with >/= 6 months of follow tip of counselling or educational interventions with or without medications aimed at controlling >/= 1 cardiovascular risk factor (blood pressure, smoking, total blood cholesterol, physical activity, and diet) in people >/= 40 years of age without evidence of cardiovascular disease. Data extraction: Data were extracted independently by 2 reviewers on methodological quality of the trials, patient baseline characteristics, and follow up. Outcomes were changes in blood pressure and total blood cholesterol, smoking, deaths from all causes, and deaths from CAD. Main results: 18 trials (140 245 patients) were included. Heterogeneity existed among the trials for all outcomes except CAD mortality. One reason for heterogeneity was the inclusion of trials that studied only hypertensive patients. Blood pressure, total blood cholesterol, and smoking prevalence were reduced in patients who received risk factor modification compared with patients who received no intervention or usual care (table). 10 trials included clinical outcomes. Deaths from all causes or from CAD were not reduced by risk factor modification (table). Conclusion: In people without evidence of established cardiovascular disease, multiple risk factor interventions consisting of counselling or educational interventions show modest reductions in blood pressure, blood cholesterol, and smoking prevalence, but not deaths from all causes or from coronary artery disease. [Original article accession number: 2000006802 (research, systematic review, tables/charts)] pubtype: Academic Journal doctype: abstract commentary Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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