Table 2.
Cardiovascular Disease Care (CVD)
| Variable | Patient level: care documented/care recommended (%)
|
Center Level
|
||||||
|---|---|---|---|---|---|---|---|---|
| All Patients | Formal Transition | No Formal Transition | Odds Ratio (or regression coefficienta) | p-value | Mean % documented care across centers | Range % documented care across centers | p-valueb | |
| CVD risk assessment | ||||||||
| Smoking history | 145/196 (74%) | 48/59 (81%) | 97/137 (71%) | 24.10 | <0.01 | 80% | 38% – 100% | 0.14 |
| Echocardiogram (if hypertensive) | 105/149 (70%) | 37/48 (77%) | 68/101 (67%) | 1.30 | 0.67 | 77% | 10% – 100% | 0.13 |
| Family history of CVDc | 103/196 (53%) | 26/59 (44%) | 77/137 (56%) | 1.24 | 0.81 | 51% | 0% – 80% | 0.16 |
| Fasting lipid profile | 93/196 (47%) | 35/59 (59%) | 58/137 (42%) | 2.97 | 0.06 | 46% | 19% – 75% | 0.17 |
| Physical activity assessment | 92/196 (47%) | 25/59 (42%) | 67/137 (49%) | 4.62 | 0.04 | 51% | 14% – 100% | 0.12 |
|
| ||||||||
| Composite CVD Risk Assessment | 538/933 (58%) | 171/284 (60%) | 367/649 (57%) | 0.21a | <0.001 | 57% | 44% – 86% | 0.08 |
|
| ||||||||
| Therapy for modifiable CVD risk factors | ||||||||
| Blood pressure medication (if hypertensive) | 107/132 (81%) | 36/44 (82%) | 71/88 (81%) | 0.65 | 0.58 | 84% | 29% – 100% | 0.19 |
| Dietary counseling by dietician | 117/165 (71%) | 46/56 (82%) | 71/109 (65%) | 45.00 | 0.21 | 72% | 15% – 100% | 0.17 |
| Lipid lowering agent (if elevated total cholesterol or LDL) | 16/36 (44%) | 9/12 (75%) | 7/24 (29%) | 8.40 | 0.18 | 46% | 0% – 100% | N/Ad |
| Endocrine referral (if hyperglycemic) | 11/50 (22%) | 5/26 (19%) | 6/24 (25%) | 0.71 | 0.62 | 22% | 0% –100% | N/Ad |
| Smoking cessation counseling (if smoker) | 5/28 (18%) | 0/7 (0%) | 5/21 (24%) | N/A | N/A | 89% | 0% –100% | 0.52 |
| Exercise therapy or referral (if BMI > 30) | 4/42 (10%) | 0/15 (0%) | 4/28 (14%) | N/A | N/A | 95% | 0% –25% | N/Ad |
|
| ||||||||
| Composite CVD Therapy | 260/454 (57%) | 96/160 (60%) | 164/294 (56%) | 0.09a | 0.19 | 56% | 27% – 76% | 0.09 |
a
Regression estimate reflecting the percentage increase in indicated care that was documented
b
Based on variance estimate
c
Cardiovascular Disease
d
Insufficient numbers to compute