A4427 Study on the effect of clinical decision support system in the management of cardiovascular disease risk factors for Community Hypertensive Patients in 81388 cases in real world

Abstract

Objectives: To evaluate the effect of clinical decision support system (CDSS) in the real world on the management of cardiovascular risk factors in community-based hypertensive patients. Methods: The data of 76 community health service centers in Futian district of Shenzhen city from June 1, 2015 to May 31, 2017 were collected based on the real-world data of the community health service center, including general demographic information, diagnostic information, blood pressure / Lipid monitoring information, medication information. Results: A total of 81388 cases of hypertensive patients were collected. There were 4315 CDSS patients with a mean age of (62.13 ± 10.45) years, the proportion of men and women is 1.31:1. There were 77073 non-CDSS patients with an average age of (57.58 ± 11.36) years, and the ratio of male and female is 1.21:1. The number of monthly outpatient visits (t = 3078.18, P < 0.001), the monthly mean number of outpatient lipids (t = 23464.27, P < 0.001), the prevalence of dyslipidemia (=2470.54, P < 0.001), blood pressure control compliance rate (= 10.38, P = 0.002) in the CDSS patients were higher then non-CDSS patients, and in the prevention of cardiovascular disease, antihypertensive drug use rate (= 179.48, P < 0.001), antiplatelet drug use rate (= 247.37, P < 0.001), lipid-lowering drug use rate (= 163.23, P < 0.001) in the CDSS patients were higher than non-CDSS patients. Conclusion: The electronic clinical decision support system can help community doctors to better manage cardiovascular risk factors for hypertensive patients, effectively improve patient compliance with treatment, improve blood pressure and blood lipid control rate, and regulate the use of cardiovascular diseases.