Abstract 296: Characteristics Of Ambulatory Cardiovascular Patients In India: Findings From The First 18,000+ Patient Encounters In The PINNACLE India Outpatient Registry
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Medientyp:
E-Artikel
Titel:
Abstract 296: Characteristics Of Ambulatory Cardiovascular Patients In India: Findings From The First 18,000+ Patient Encounters In The PINNACLE India Outpatient Registry
Beschreibung:
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<jats:bold>Background:</jats:bold>
In India, patients usually are responsible for medical records, carrying them to ambulatory clinic visits. Little is known about the characteristics of cardiovascular (CV) patients visiting Indian hospital outpatient departments (OPDs), as this information is not collected or analyzed in a standardized fashion.
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<jats:bold>Methods:</jats:bold>
We used paper scanners along with an electronic data collection tool to systematically collect CV patient records in hospital OPDs. Standardized data definitions were used for all elements, including demographics, vital signs, and lab values. We normalized and analyzed the data collected, producing totals, means, medians, and standard deviations for all element values.
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<jats:bold>Results:</jats:bold>
We collected 18,804 CV patient encounters in the OPDs of two tertiary facilities in Maharastra state from 2/12 to10/12. Of 18,622 records with gender recorded, 12,386 were male (66.5%). Only 22% of records were for patients over age of 65. Mean age was 57, the same mean age for males. Mean age for females was 54.
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<jats:p>Systolic blood pressure (BP) was documented in 8,481 (45%) of patient visits. Diastolic BP was documented in 8,477 (45%) patient visits. Mean systolic BP was 130, with a standard deviation of ± 18. Mean diastolic BP was 81 ± 9. Most BPs were high, with 6,651 (78%) greater than 120. Hypertension diagnoses could be applied to 2,566 (30%) of the encounters with a systolic BP over 140 documented.</jats:p>
<jats:p>Ejection fraction (EF) was present in 857 patient encounter records (4.5%). Most EFs (704) fell within the normal range of ≥ 50%. Mean ejection fraction was 56% ± 11. For EFs outside normal range, 74 were mildly reduced (an EF of 40-49%), 57 moderately reduced (26-29%) and 22 severely reduced (≤ 25%).</jats:p>
<jats:p>Complete lipid panel, consisting of values for total cholesterol, HDL, LDL, and triglycerides, was present in 594 patient records (3.2%). LDL values were present in 601 encounter records, with mean LDL of 101 mg/dL ± 35. 288 LDL values were over 100 mg/dL, the upper bound of optimal range.</jats:p>
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<jats:bold>Conclusion:</jats:bold>
Indian ambulatory CV patients appear to be younger and more heavily male than outpatient CV populations in the US. Opportunity remains for increased documentation, allowing for performance measure generation.
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