%0 Journal Article
%T Clinical and cost effectiveness of preventive counseling of young patients with arterial hypertension in primary health care
%A M.I. Shupina
%A O.Ju. Korennova
%A E.N. Loginova
%J Rational Pharmacotherapy in Cardiology
%D 2013
%I Rational Pharmacotherapy in Cardiology
%X Aim. To study clinical and cost effectiveness of training of young patients with arterial hypertension (HT) in the health school in comparison with individual counseling.Material and methods. Hypertensive outpatients (n=114) at the age of 18-27 years were included into the study. Patients were randomized into 2 groups: ”°Health school”± and "Typical practice". ”°Health school”± patients received special training course ”°School health for patients with HT." Patients of the "Typical practice" had individual consultation. Clinical and cost analysis was performed in 6, 12 and 36 months of the follow-up.Results. The total cardiovascular risk in patients of ”°Health school”± and "Typical practice" groups after 12 months decreased from 15.85”Ą3.47% to 7.22”Ą2.59% and from 15.60”Ą3.34% to 11.29”Ą4.14%, respectively, after 36 months to 10.77”Ą3.18% and to 11.40”Ą3.93%, respectively. Cost of 1% reduction in the total cardiovascular risk was 3425.1 and 190.4 rubles per one patient in ”°Health school”± and "Typical practice" groups, respectively.Conclusion. The more time after the training course passes, the more its clinical and cost effectiveness reduces. This requires a follow-up care and repeated preventive counseling of these patients.
%K arterial hypertension
%K health school
%K cardiovascular risk
%U http://www.rpcardio.com/archive/article.php?ID=3806