Implementing the physical activity vital sign in an academic preventive cardiology clinic

McCarthy, Margaret M.; Fletcher, Jason; Heffron, Sean; Szerencsy, Adam; Mann, David; Vorderstrasse, Allison

doi:10.1016/j.pmedr.2021.101435

Cited by 6 publications

(1 citation statement)

References 31 publications

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“…Brant et al [200], 2021; Dhar et al [201], 2019; Egede et al [202], 2021; Kukhareva et al [203], 2022; Mahajan et al [204], 2022; Manzar [205], 2022; McCarthy et al [206], 2021; Mehta et al [207], 2018; Nasehi et al [208], 2018; Patil et al [209], 2022; Reddy et al [210], 2021; Renjithlal et al [211], 2022; Torres et al [212], 2023 Adult Dinesh et al [213], 2021; Harbison and Gillan [214], 2018; Khanna et al [215], 2021; McCain et al [216], 2022; Rajamani et al [217], 2015; Simmons et al [218], 2022…”

Section: Population Healthmentioning

confidence: 99%

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Chishtie,

Sapiro,

Wiebe

et al. 2023

J Med Internet Res

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Background Electronic health records (EHRs) enable health data exchange across interconnected systems from varied settings. Epic is among the 5 leading EHR providers and is the most adopted EHR system across the globe. Despite its global reach, there is a gap in the literature detailing how EHR systems such as Epic have been used for health care research. Objective The objective of this scoping review is to synthesize the available literature on use cases of the Epic EHR for research in various areas of clinical and health sciences. Methods We used established scoping review methods and searched 9 major information repositories, including databases and gray literature sources. To categorize the research data, we developed detailed criteria for 5 major research domains to present the results. Results We present a comprehensive picture of the method types in 5 research domains. A total of 4669 articles were screened by 2 independent reviewers at each stage, while 206 articles were abstracted. Most studies were from the United States, with a sharp increase in volume from the year 2015 onwards. Most articles focused on clinical care, health services research and clinical decision support. Among research designs, most studies used longitudinal designs, followed by interventional studies implemented at single sites in adult populations. Important facilitators and barriers to the use of Epic and EHRs in general were identified. Important lessons to the use of Epic and other EHRs for research purposes were also synthesized. Conclusions The Epic EHR provides a wide variety of functions that are helpful toward research in several domains, including clinical and population health, quality improvement, and the development of clinical decision support tools. As Epic is reported to be the most globally adopted EHR, researchers can take advantage of its various system features, including pooled data, integration of modules and developing decision support tools. Such research opportunities afforded by the system can contribute to improving quality of care, building health system efficiencies, and conducting population-level studies. Although this review is limited to the Epic EHR system, the larger lessons are generalizable to other EHRs.

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Section: Population Healthmentioning

confidence: 99%

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Chishtie,

Sapiro,

Wiebe

et al. 2023

J Med Internet Res

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Physical activity vital sign assessment and associated health outcomes in an underserved South African community

Gradidge,

Crouch,

Thornton

et al. 2024

J Public Health (Berl.)

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Background Physical activity is particularly low in South Africa and contributes to chronic conditions. This study aimed to determine physical activity levels in a South African community, using the physical activity vital sign (PAVS), and identify associations between physical activity and key health outcomes. Methods A cross-sectional study used community health workers to collect PAVS data, blood pressure and self-reported medical history from 2282 participants living in Soweto, Johannesburg. Physical activity was defined as meeting or not meeting WHO guidelines of ≥ 150 min/week. Hypertension was defined according to the International Society of Hypertension guidelines. Results The study population included 1161 women and 1121 men. Administering the PAVS was quick (29.5 ± 43.4 s). Only 19.8% of the total population reported meeting the guidelines, and it was significantly lower in women (17.6%) compared with men (22.1%). The logistic regression models demonstrated significant association between not meeting physical activity guidelines and hypertension (adjusted odd ratio [AOR] 0.77, 95% CI 0.61–0.97, p = 0.032), current smoking (AOR 0.73, 95% CI 0.55–0.97, p = 0.030) and past smoking (AOR 0.61, 95% CI 0.44–0.83, p = 0.002). Conclusions This study demonstrates the validity of using the PAVS in an underserved community. The observed associations highlight the potential of advocating physical activity as a feasible intervention for improving the health of urban-dwelling Black South Africans.

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Social Phenotyping for Cardiovascular Risk Stratification in Electronic Health Registries

Ibrahim,

Pham,

Ganatra

et al. 2024

Curr Atheroscler Rep

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Implementing the physical activity vital sign in an academic preventive cardiology clinic

Cited by 6 publications

References 31 publications

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Physical activity vital sign assessment and associated health outcomes in an underserved South African community

Social Phenotyping for Cardiovascular Risk Stratification in Electronic Health Registries

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