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126 USE OF A HANDHELD ASSIST DEVICE FOR CHOLESTEROL MANAGEMENT BY NATIONAL CHOLESTEROL EDUCATION PANEL ADULT TREATMENT PANEL III GUIDELINES
  1. M. Rashid,
  2. L. Goebel,
  3. P. Wehner,
  4. M. Seifu,
  5. T. Gress
  1. Huntington, WV., 1Helsinki University Hospital

Abstract

Purpose A previous study showed cholesterol guidelines to be inconvenient to use during patient encounters. We assessed the ability of a handheld assist device (HAD) to assist physicians with cholesterol management.

Methods We performed a cohort study using 116 patients with dyslipidemia (ICD-9 codes 272.0-272.9). The HAD group (n = 63) was drawn from the practices of nine interns who were provided with a HAD and instructed on its use to determine the Adult Treatment Panel III recommendation. The non-HAD group (n = 53) was drawn from the practices of ten interns not using a HAD. We reviewed baseline and 6-month follow-up data on each patient to determine the proportion of patients at their target low density lipoprotein cholesterol (LDL-C) and the number of times a physician made a change in management. In addition, we surveyed intern attitudes regarding HAD use.

Results Ninety-two patients (79%) had an LDL-C during the study period. Target LDL-C was achieved in 29 patients (59.2%) in the HAD group and in 24 patients (55.8%) in the non-HAD group (p = .64). Among 39 patients (42.4%) not at target LDL-C, 24 had no change in management (12 per group; p = .71). Self-reported intern guideline use doubled in the HAD group. The interns rated the HAD as excellent for convenience, ease of use, as a tool for lipid management, and as a tool for assessing the Framingham Risk Assessment Score (FRAS).

Conclusion Although providing interns with a HAD was not associated with a short-term improvement in cholesterol management, it may lead to increased use of cholesterol guidelines.

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