Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA Study
<p>Abstract</p> <p>Background</p> <p>Physicians involved in primary prevention are key players in CVD risk control strategies, but the expected reduction in CVD risk that would be obtained if all patients attending primary care had their risk factors controlled accordin...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2011-09-01
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| Series: | BMC Public Health |
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| Online Access: | http://www.biomedcentral.com/1471-2458/11/704 |
| _version_ | 1811286298064846848 |
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| author | Borghi Claudio Halcox Julian P Dallongeville Jean Jiménez F Javier Blasco-Colmenares Elena Banegas José R Guallar Eliseo Massó-González Elvira L Tafalla Mónica Perk Joep De Backer Guy Steg Philippe G Rodríguez-Artalejo Fernando |
| author_facet | Borghi Claudio Halcox Julian P Dallongeville Jean Jiménez F Javier Blasco-Colmenares Elena Banegas José R Guallar Eliseo Massó-González Elvira L Tafalla Mónica Perk Joep De Backer Guy Steg Philippe G Rodríguez-Artalejo Fernando |
| author_sort | Borghi Claudio |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Physicians involved in primary prevention are key players in CVD risk control strategies, but the expected reduction in CVD risk that would be obtained if all patients attending primary care had their risk factors controlled according to current guidelines is unknown. The objective of this study was to estimate the excess risk attributable, firstly, to the presence of CVD risk factors and, secondly, to the lack of control of these risk factors in primary prevention care across Europe.</p> <p>Methods</p> <p>Cross-sectional study using data from the European Study on Cardiovascular Risk Prevention and Management in Daily Practice (EURIKA), which involved primary care and outpatient clinics involved in primary prevention from 12 European countries between May 2009 and January 2010. We enrolled 7,434 patients over 50 years old with at least one cardiovascular risk factor but without CVD and calculated their 10-year risk of CVD death according to the SCORE equation, modified to take diabetes risk into account.</p> <p>Results</p> <p>The average 10-year risk of CVD death in study participants (N = 7,434) was 8.2%. Hypertension, hyperlipidemia, smoking, and diabetes were responsible for 32.7 (95% confidence interval 32.0-33.4), 15.1 (14.8-15.4), 10.4 (9.9-11.0), and 16.4% (15.6-17.2) of CVD risk, respectively. The four risk factors accounted for 57.7% (57.0-58.4) of CVD risk, representing a 10-year excess risk of CVD death of 5.66% (5.47-5.85). Lack of control of hypertension, hyperlipidemia, smoking, and diabetes were responsible for 8.8 (8.3-9.3), 10.6 (10.3-10.9), 10.4 (9.9-11.0), and 3.1% (2.8-3.4) of CVD risk, respectively. Lack of control of the four risk factors accounted for 29.2% (28.5-29.8) of CVD risk, representing a 10-year excess risk of CVD death of 3.12% (2.97-3.27).</p> <p>Conclusions</p> <p>Lack of control of CVD risk factors was responsible for almost 30% of the risk of CVD death among patients participating in the EURIKA Study.</p> |
| first_indexed | 2024-04-13T02:57:36Z |
| format | Article |
| id | doaj.art-3c192b3eff0d4c7d80eeafa66c3e2864 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T02:57:36Z |
| publishDate | 2011-09-01 |
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| spelling | doaj.art-3c192b3eff0d4c7d80eeafa66c3e28642022-12-22T03:05:34ZengBMCBMC Public Health1471-24582011-09-0111170410.1186/1471-2458-11-704Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA StudyBorghi ClaudioHalcox Julian PDallongeville JeanJiménez F JavierBlasco-Colmenares ElenaBanegas José RGuallar EliseoMassó-González Elvira LTafalla MónicaPerk JoepDe Backer GuySteg Philippe GRodríguez-Artalejo Fernando<p>Abstract</p> <p>Background</p> <p>Physicians involved in primary prevention are key players in CVD risk control strategies, but the expected reduction in CVD risk that would be obtained if all patients attending primary care had their risk factors controlled according to current guidelines is unknown. The objective of this study was to estimate the excess risk attributable, firstly, to the presence of CVD risk factors and, secondly, to the lack of control of these risk factors in primary prevention care across Europe.</p> <p>Methods</p> <p>Cross-sectional study using data from the European Study on Cardiovascular Risk Prevention and Management in Daily Practice (EURIKA), which involved primary care and outpatient clinics involved in primary prevention from 12 European countries between May 2009 and January 2010. We enrolled 7,434 patients over 50 years old with at least one cardiovascular risk factor but without CVD and calculated their 10-year risk of CVD death according to the SCORE equation, modified to take diabetes risk into account.</p> <p>Results</p> <p>The average 10-year risk of CVD death in study participants (N = 7,434) was 8.2%. Hypertension, hyperlipidemia, smoking, and diabetes were responsible for 32.7 (95% confidence interval 32.0-33.4), 15.1 (14.8-15.4), 10.4 (9.9-11.0), and 16.4% (15.6-17.2) of CVD risk, respectively. The four risk factors accounted for 57.7% (57.0-58.4) of CVD risk, representing a 10-year excess risk of CVD death of 5.66% (5.47-5.85). Lack of control of hypertension, hyperlipidemia, smoking, and diabetes were responsible for 8.8 (8.3-9.3), 10.6 (10.3-10.9), 10.4 (9.9-11.0), and 3.1% (2.8-3.4) of CVD risk, respectively. Lack of control of the four risk factors accounted for 29.2% (28.5-29.8) of CVD risk, representing a 10-year excess risk of CVD death of 3.12% (2.97-3.27).</p> <p>Conclusions</p> <p>Lack of control of CVD risk factors was responsible for almost 30% of the risk of CVD death among patients participating in the EURIKA Study.</p>http://www.biomedcentral.com/1471-2458/11/704cardiovascular diseasemortalityrisk factorscontrolSCORE |
| spellingShingle | Borghi Claudio Halcox Julian P Dallongeville Jean Jiménez F Javier Blasco-Colmenares Elena Banegas José R Guallar Eliseo Massó-González Elvira L Tafalla Mónica Perk Joep De Backer Guy Steg Philippe G Rodríguez-Artalejo Fernando Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA Study BMC Public Health cardiovascular disease mortality risk factors control SCORE |
| title | Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA Study |
| title_full | Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA Study |
| title_fullStr | Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA Study |
| title_full_unstemmed | Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA Study |
| title_short | Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe - The EURIKA Study |
| title_sort | excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across europe the eurika study |
| topic | cardiovascular disease mortality risk factors control SCORE |
| url | http://www.biomedcentral.com/1471-2458/11/704 |
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