Community Pharmacist Cholesterol Point of Care Screening with Framingham Risk Score
Canadian Pharmacists Conference ePoster Library. Bron L. Jun 4, 2017; 174274
Laura Bron
Laura Bron
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Abstract
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Objectives
Point-of- care cholesterol screening is a valuable tool that community pharmacists can use to identify and educate patients at risk for hypercholesterolemia, cardiovascular disease and related events. Here, we report data from screening 112 patients at structured cholesterol-screening clinics held in the community of Thunder Bay, ON.

Methods
The CardioCheck Cholesterol Monitor was used to do a point-of-care calculation of a patient's HDL and Total cholesterol. A minute amount of blood from the finger was needed to run the test. Patients were screened for conditions that place them at higher risk of a cardiovascular event (hypertension, past myocardial infarction or transient ischemic attack, diabetes, smoking). Patients' ten-year risk assessment of a cardiovascular event was calculated using the Framingham Risk Score. Data collection took place over a year.

Results
Testing successfully identified patients potentially at risk for experiencing a cardiovasculalr event in the next ten years. The average total cholesterol was 4.88mmol/L and HDL was 1.04mmol/L. The average Framingham Risk Score was 18.6%. The majority of patients were not maintaining the requirements of having 150 minutes of moderate exercise per week. Smoking cessation and decreasing alcohol and caffeine intake were also discussed.

Conclusion
These results illustrate the prevalence of potentially undiagnosed hypercholesterolemia for patients in the community. Our intervention data suggests that a structured cholesterol and cardiovascular consultation by a community pharmacist can identify patients at risk for experiencing an event. Patients at low risk were given evidence based and practical recommendations to maintain their cardiovascular health and reduce the risk of developing any related diseases. Patients with moderate and high risk were given instruction to visit their primary care practitioner (physician, nurse practitioner) to discuss the results and inquire about possible prescription medication. Continued expansion in scope of pharmacy practice may contribute to increased hypercholesterolemia detection and reduced cardiovascular events.

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