Web of Science: 17 cites, Scopus: 14 cites, Google Scholar: cites,
Population prevalence and control of cardiovascular risk factors : What electronic medical records tell us
Catalán-Ramos, Arantxa (Institut Català de la Salut)
Verdú, Jose M. (Universitat Autònoma de Barcelona)
Grau, María (Institut Hospital del Mar d'Investigacions Mèdiques)
Iglesias-Rodal, Manuel (Institut Català de la Salut)
del Val García, José L. (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Consola, Alicia (Aplicaciones en Informática Avanzada (AIA) S.L., Barcelona)
Comin, Eva (Institut Català de la Salut)

Data: 2013
Resum: To analyze the prevalence, control, and management of hypertension, hypercholesterolemia, and diabetes mellitus type 2 (DM2). Cross-sectional analysis of all individuals attended in the Catalan primary care centers between 2006 and 2009. History of cardiovascular diseases, diagnosis and treatment of hypertension, hypercholesterolemia, DM2, lipid profile, glycemia and blood pressure data were extracted from electronic medical records. Age-standardized prevalence and levels of management and control were estimated. Individuals aged 35-74 years using primary care databases. A total of 2,174,515 individuals were included (mean age 52 years [SD 11], 47% men). Hypertension was the most prevalent cardiovascular risk factor (39% in women, 41% in men) followed by hypercholesterolemia (38% and 40%) and DM2 (12% and 16%), respectively. Diuretics and angiotensin-converting enzyme inhibitors were most often prescribed for hypertension control (<140/90 mmHg, achieved in 68% of men and 60% of women treated). Hypercholesterolemia was controlled (low-density lipoprotein cholesterol <130 mg/dl) in just 31% of men and 26% of women with no history of cardiovascular disease, despite lipid-lowering treatment, primarily (90%) with statins. The percentage of women and men with DM2 and with glycated hemoglobin <7% was 64. 7% and 59. 2%, respectively; treatment was predominantly with oral hypoglycemic agents alone (70%), or combined with insulin (15%). Hypertension was the most prevalent cardiovascular risk factor in the Catalan population attended at primary care centers. About two thirds of individuals with hypertension or DM2 were adequately controlled; hypercholesterolemia control was particularly low.
Ajuts: Agència de Gestió d'Ajuts Universitaris i de Recerca 483-13-2009
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Electronic Health Records ; Hypercholesterolemia ; Hypertension ; Diabetes mellitus type 2 ; Primary health care ; Prevalence ; Historia clínica electrónica ; Hipercolesterolemia ; Hipertensión ; Diabetes Mellitus tipo 2 ; Atención Primaria ; Prevalencia
Publicat a: Atencion Primaria, Vol. 46 (december 2013) , p. 15-24, ISSN 1578-1275

DOI: 10.1016/j.aprim.2013.06.004
PMID: 24325864


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