Faculty Articles
Improvement in Surrogate Endpoints by a Multidisciplinary Team in a Mobile Clinic Serving a Low-Income, Immigrant Minority Population in South Florida
Publication Title
Journal of Health Care for the Poor and Underserved
Publisher
Johns Hopkins University Press
ISSN
1049-2089
Publication Date
2-2013
Keywords
biological markers, blood pressure, cardiovascular diseases, cholesterol, emigrants and immigrants, female, Florida, Haiti, humans, hypertension, LDL, male, middle aged, minority groups, mobile health units, patient care team, poverty, retrospective studies
Abstract
To determine effect on surrogate endpoints for cardiovascular disease (CVD), we performed a retrospective chart review of 114 patients seen by a multidisciplinary team that provided primary care services in a mobile clinic over 12 months. Eligible patients had outcomes available for at least six months. Mixed effect modeling examined variation in surrogate markers for CVD: blood pressure (BP), heart rate, and body mass index. Repeated measures ANOVA compared lipids, hemoglobin A1c, and medication use from baseline and throughout study. Most patients were female (75%), Haitian (76%), and low-income ($747/month) with average age 63 years. Common diagnoses were hypertension (82%) and hyperlipidemia (63%). Significant reduction in systolic BP, total- and LDL-cholesterol, and hemoglobin A1c were found (p
DOI
10.1353/hpu.2013.0028
Volume
24
Issue
1
First Page
67
Last Page
77
Disciplines
Medicine and Health Sciences | Pharmacy and Pharmaceutical Sciences
NSUWorks Citation
Singh-Franco, Devada; Perez Rivera, Alexandra; and Wolowich, William R., "Improvement in Surrogate Endpoints by a Multidisciplinary Team in a Mobile Clinic Serving a Low-Income, Immigrant Minority Population in South Florida" (2013). Faculty Articles. 31.
https://nsuworks.nova.edu/hpd_corx_facarticles/31