title: Improvement in surrogate endpoints by a multidisciplinary team in a mobile clinic serving a low-income, immigrant minority population in South Florida.
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<.05). Use of ACE-inhibitors, beta-blockers, diuretics, aspirin, metformin, and statins increased significantly (p<.05). Mobile clinic with a multidisciplinary team improved surrogate endpoints over 12 months in underserved, low-income, mostly foreign-born, Haitian population in U.S.
authors: Nova Southeastern University, Fort Lauderdale, FL 33328, USA. singh@nova.edu
authors: Devada
authors: D
authors: Singh-Franco
authors: Alexandra
authors: A
authors: Perez
authors: William R
authors: WR
authors: Wolowich
mesh_terms: D015415:Biomarkers; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000208:ethnology / Q000628:therapy; D008078:Cholesterol, LDL / Q000097:blood; D054242:Emigrants and Immigrants; D005260:Female; D005431:Florida; D006205:Haiti / Q000208:ethnology; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000208:ethnology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D008913:Minority Groups; D008952:Mobile Health Units / Q000458:organization & administration; D010348:Patient Care Team; D011203:Poverty; D012189:Retrospective Studies
chemical_list: D015415:Biomarkers; D008078:Cholesterol, LDL