Abstract
Background: Several scoring systems to assess an individual's risk of heart disease are available to practices. This approach has been advocated to focus practice activities on those at highest risk and to assist in individual patient management.Objectives: To determine the use of cardiovascular risk appraisal systems in general practice, and the view of users and non-users.Methods: Postal questionnaire survey to all general practices in Leicestershire (n=153), addresses preferentially to the practice nurse.Results: Responses were received from 126 practices (82%). Twenty-five (20%) used a risk appraisal system. The most popular were practice-devised systems (11 practices), the Dundee coronary risk disk (11) and the coronary risk calculator (4). Of the users, 12 (48%) targeted all within an age range and 12 (48%) used the score selectively with those specific risk factors. Eighteen practices (72%) used the scores both opportunistically and as part of a well person check. The most popular method of present...
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