Descriptive Epidemiology Based on “Comprehensive Risk Management Chart for Prevention of Cerebrocardiovascular Disease”

Abstract

 [Purpose] A comprehensive risk management chart for the prevention of cerebrocardiovascular disease was published in April 2015.

 It was epoch-making because it was structured for practicing physicians to easily use in daily medical care, taking into consideration the guidelines and treatment policies of related academic societies.

 However, the risk distribution of the health checkup individual was unknown.

 This study aimed to clarify the disease morbidity and risk category distribution to plan appropriate health guidance after the health checkup program.

 [Targets] From January to December 2015, I visited the one-day health checkup program at St. Luke's International Hospital Preventive Medical Center.

 A total of 38,321 individuals (18,019 men and 20,302 women) were targeted.

 [Methods] According to the algorithm of the comprehensive management chart, 1) (a, basic item; b, additional item; c, judgment of necessity of referral to a specialist) and 2) screening before the start of treatment in all six steps were analyzed. The analysis focused on the diagnosis of each risk factor and additional evaluation items.

 [Results] More individuals who were currently being treated, especially those with diabetes, were more likely to be treated in step 1c (introduction required) than non-treated individuals. Diseases with a high-risk prevalence in step 2 were diabetes (male, 52.7%; female, 41.8%) and dyslipidemia (male, 34.3%, female, 22.5%). The percentage of those who possessed one or more risk factors in step 2 were about 60% for men and 50% for women.

 [Discussions] It was suggested that the individual in charge of healthcare should give health guidance while keeping in mind the status of the possession of risk factors and actively cooperate with the attending physician for the patients who are being treated for each disease.