Cardiovascular risk estimation by professionally active cardiovascular nurses: Results from the Basel 2005 Nurses Cohort

Scholte op Reimer, Wilma J.M., Moons, Philip, De Geest, Sabina, Fridlund, Bengt, Heikkila, Johanna, Jaarsma, Tiny, Lenzen, Mattie, Martensson, Jan, Norekval, Tone M., Smith, karen, Stewart, Simon, Stromberg, Anna and Thompson, David R. (2006) Cardiovascular risk estimation by professionally active cardiovascular nurses: Results from the Basel 2005 Nurses Cohort. European Journal of Cardiovascular Nursing, 5 4: 258-263. doi:10.1016/j.ejcnurse.2006.06.007

Author Scholte op Reimer, Wilma J.M.
Moons, Philip
De Geest, Sabina
Fridlund, Bengt
Heikkila, Johanna
Jaarsma, Tiny
Lenzen, Mattie
Martensson, Jan
Norekval, Tone M.
Smith, karen
Stewart, Simon
Stromberg, Anna
Thompson, David R.
Title Cardiovascular risk estimation by professionally active cardiovascular nurses: Results from the Basel 2005 Nurses Cohort
Journal name European Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 1474-5151
Publication date 2006-12
DOI 10.1016/j.ejcnurse.2006.06.007
Volume 5
Issue 4
Start page 258
End page 263
Total pages 6
Editor T. Jaarsma
Place of publication Amsterdam ; London
Publisher Elsevier BV
Collection year 2006
Language eng
Subject C1
321003 Cardiology (incl. Cardiovascular Diseases)
730106 Cardiovascular system and diseases
321100 Nursing
730302 Nursing
Abstract Background Nurses play a key role in the prevention of cardiovascular disease (CVD) and one would, therefore, expect them to have a heightened awareness of the need for systematic screening and their own CVD risk profile. The aim of this study was to examine personal awareness of CVD risk among a cohort of cardiovascular nurses attending a European conference. Methods Of the 340 delegates attending the 5th annual Spring Meeting on Cardiovascular Nursing (Basel, Switzerland, 2005), 287 (83%) completed a self-report questionnaire to assess their own risk factors for CVD. Delegates were also asked to give an estimation of their absolute total risk of experiencing a fatal CVD event in the next 10 years. Level of agreement between self-reported CVD risk estimation and their actual risk according to the SCORE risk assessment system was compared by calculating weighted Kappa (κw). Results Overall, 109 responders (38%) self-reported having either pre-existing CVD (only 2%), one or more markedly raised CVD risk factors, a high total risk of fatal CVD (≥ 5% in 10 years) or a strong family history of CVD. About half of this cohort (53%) did not know their own total cholesterol level. Less than half (45%) reported having a 10-year risk of fatal CVD of < 1%, while 13% reported having a risk ≥ 5%. Based on the SCORE risk function, the estimated 10-year risk of a fatal CVD event was < 1% for 96% of responders: only 2% had a ≥ 5% risk of such an event. Overall, less than half (46%) of this cohort's self-reported CVD risk corresponded with that calculated using the SCORE risk function (κw = 0.27). Conclusion Most cardiovascular nurses attending a European conference in 2005 poorly understood their own CVD risk profile, and the agreement between their self-reported 10-year risk of a fatal CVD and their CVD risk using SCORE was only fair. Given the specialist nature of this conference, our findings clearly demonstrate a need to improve overall nursing awareness of the role and importance of systematic CVD risk assessment.
Keyword Cardiac nurses
Cardiovascular risk factors
Risk estimation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

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Created: Wed, 15 Aug 2007, 10:10:10 EST