[Trends study of diet consulting for discharged patients with acute myocardial infarction in China from 2001 to 2011].

[Trends study of diet consulting for discharged patients with acute myocardial infarction in China from 2001 to 2011].

Zhonghua Yi Xue Za Zhi. 2018 Feb 13;98(7):544-548

Authors: Li X, Guan WC, Li YT, Zhang QL, Li SS

Abstract
Objective: To describe trends in diet consulting at discharge for patients with acute myocardial infarction (AMI) in China from 2001-2011. Methods: A representative sample of patients in China admitted to hospital for AMI was created from a two-stage sampling approach; profiles for patients with AMI were retrospectively abstracted through their medical records.The study described the overall trends in diet consulting for patients with AMI in China, the rates of diet consulting among patients with hypertension, diabetes, and hyperlipidemia, and the variation in diet consulting across different regions. Results: We sampled 162 hospitals and included 16 100 patients with AMI in total.The weighted rates of diet consulting at AMI discharge in China was 16.5%, 28.8%, and 40.8% in 2001, 2006 and 2011, respectively (P for trend <0.001). The rates and trends among patients with hypertension, diabetes, and hyperlipidemia were similar to those among all patients with AMI (hypertension: 16.4%, 31.4%, and 41.1% in 2001, 2006 and 2011, respectively; diabetes: 18.2%, 32.2%, and 42.8%; hyperlipidemia: 18.6%, 31.4%, and 41.5%; all P for trend <0.001). The rates has not changed much for those in central rural region over the decade (19.2%, 19.4%, and 22.8% in 2001, 2006 and 2011, respectively; P for trend=0.09); meanwhile, the rates of diet consulting in other four regions increased over years (all P for trend<0.001). Conclusions: From 2001 to 2011, the rates of diet consulting at discharge for patients with AMI has increased in China; however, there are still substantial rooms for improvement, especially for central rural region.Dietitian could work with clinician and be involved in diet consulting for AMI at discharge in order to improve prognosis for patients with AMI.

PMID: 29495226 [PubMed - in process]

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