Open AccessPharmacist‐Led Cardiac Risk Reduction Model
Author(s) -
Taveira Tracey H.,
Wu WenChih,
Martin Oanh J.,
Schleinitz Mark D.,
Friedmann Peter,
Sharma Satish C.
Publication year - 2006
Publication title -
preventive cardiology
Language(s) - English
Resource type - Journals
eISSN - 1751-7141
pISSN - 1520-037X
DOI - 10.1111/j.1520-037x.2006.05339.x
Subject(s) - medicine , framingham risk score , coronary artery disease , blood pressure , diabetes mellitus , guideline , pharmacist , cardiology , disease , physical therapy , pharmacy , family medicine , pathology , endocrinology
The Cardiovascular Risk Reduction Clinic (CRRC) is a pharmacist‐coordinated care model that incorporates the 4 major modifiable risk factors into a single treatment program. The authors aimed to assess the effectiveness of the CRRC model by comparing the Framingham point score before and after CRRC intervention. Retrospective data between 2001 and 2002 were analyzed for 375 veterans (age 65±10 years) with diabetes (88.8%) or coronary artery disease (44%) referred to the CRRC for intensive cardiac risk management. Total Framingham point score decreased from 14.5 at baseline to 13.6 after CRRC intervention (mean change 0.9±0.3). When considering only the patients not at target goals at baseline (n=200), significant improvements in guideline adherence was observed in low‐density lipoprotein cholesterol, systolic blood pressure, hemoglobin A 1c , and smoking. The CRRC model reduces the risk of cardiovascular events as assessed by Framingham point score in patients with established coronary artery disease and/or diabetes.