EFFECTIVENESS OF A CARDIOVASCULAR RISK MANAGEMENT PROGRAM IN REDUCING THE PROBABILITY OF PREMATURE DEATH DUE TO CARDIOVASCULAR EVENTS IN THE COLOMBIAN CARIBBEAN REGION
Author(s)
Salcedo Mejía F1, Miranda Machado P2, Parra Padilla D3, Gómez De la Rosa F1, Carrasquilla M1, PAZ Wilchez J4, Fernandez Mercado JC5, Jerez Arias M6, Vargas-Moranth R7, Alvis-Guzman N8, De La Hoz F9
1ALZAK Foundation, Cartagena, Colombia, 2Alzak Foundation. Universidad de Cartagena., Cartagena de Indias, Colombia, 3ALZAK Foundation, Cartagena, BOL, Colombia, 4MUTUALSER EPS, CARTAGENA DE INDIAS, Colombia, 5MUTUALSER EPS, University of Cartagena Clínica Crecer, CARTAGENA DE INDIAS, Colombia, 6Fundación Ser Social, Cartagena, Colombia, 7ALZAK Foundation. University of Cartagena., Barranquilla, ATL, Colombia, 8ALZAK Foundation, Universidad de la Costa, Barranquilla - Colombia, Cartagena, BOL, Colombia, 9Universidad Nacional de Colombia, Bogota, Colombia
OBJECTIVES : Effectiveness of a cardiovascular risk management program in reducing the probability of premature death due to cardiovascular events in the Colombian Caribbean region METHODS : This was a cross-sectional study. The age at death due to an acute myocardial infraction (AMI), stroke, congestive heart failure (CHF) in patients enrolled (n=128,263) and not enrolled (n=1,088,225) to the DTC program was compared. CVE within the enrolled population were identified if the hospital admission date was after the date of enrollment. Patients>=20 years were included, and only the first CVE observed were selected. A premature death was defined if a CVE occurred in women <60 years and men <55 years. A multivariate logit model was estimated, and odds ratios and 95% confidence intervals were reported. RESULTS : A total of 13,415 CVE (AMI=4,703 (36.31%), stroke=4,781 (36.69%) and CHF=3,507 (29.83%)) were identified. In the DTC cohort, 6,483 (48.33%) CVE occurred. Patients in the DTC cohort were less likely to have premature death due to a CVE compared to those not enrolled (OR 95% CI); (OR = 0.470; 0.302 - 0.718) (p <0.001). By type of event, it was only significant for stroke (OR = 0.161; 0.059 - 0.373)(p <0.001), but not for AMI (OR = 0.650; 0.288 - 1.421)(p = 0.640), CHF (OR = 0.767; 0.288 - 1.421)(p = 0.43). CONCLUSIONS : Being enrolled in the DTC program for cardiovascular risk management, reduces the probability of premature death between approximately 22% and 70%, compared to not being included. The DTC program is effective for reducing the risk of premature death, especially in patients with stroke.
Conference/Value in Health Info
2020-05, ISPOR 2020, Orlando, FL, USA
Value in Health, Volume 23, Issue 5, S1 (May 2020)
Code
PCV61
Topic
Clinical Outcomes, Epidemiology & Public Health, Methodological & Statistical Research, Real World Data & Information Systems
Topic Subcategory
Health & Insurance Records Systems, Performance-based Outcomes, Public Health
Disease
Cardiovascular Disorders, Diabetes/Endocrine/Metabolic Disorders
Explore Related HEOR by Topic
