Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us
Objective: To analyze the prevalence, control, and management of hypertension, hypercholesterolemia, and diabetes mellitus type 2 (DM2). Design: Cross-sectional analysis of all individuals attended in the Catalan primary care centers between 2006 and 2009. Location: History of cardiovascular disease...
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| Format: | Article |
| Language: | Spanish |
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Elsevier
2014-01-01
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| Series: | Atención Primaria |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0212656713001996 |
| _version_ | 1818096722049499136 |
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| author | Arantxa Catalán-Ramos Jose M. Verdú María Grau Manuel Iglesias-Rodal José L. del Val García Alicia Consola Eva Comin |
| author_facet | Arantxa Catalán-Ramos Jose M. Verdú María Grau Manuel Iglesias-Rodal José L. del Val García Alicia Consola Eva Comin |
| author_sort | Arantxa Catalán-Ramos |
| collection | DOAJ |
| description | Objective: To analyze the prevalence, control, and management of hypertension, hypercholesterolemia, and diabetes mellitus type 2 (DM2).
Design: Cross-sectional analysis of all individuals attended in the Catalan primary care centers between 2006 and 2009.
Location: 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.
Participants: Individuals aged 35–74 years using primary care databases.
Main measures: A total of 2,174,515 individuals were included (mean age 52 years [SD 11], 47% men).
Results: 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%).
Conclusions: 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. |
| first_indexed | 2024-12-10T23:09:08Z |
| format | Article |
| id | doaj.art-572dcc6cce7c488f81590e981c5cd11a |
| institution | Directory Open Access Journal |
| issn | 0212-6567 |
| language | Spanish |
| last_indexed | 2024-12-10T23:09:08Z |
| publishDate | 2014-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Atención Primaria |
| spelling | doaj.art-572dcc6cce7c488f81590e981c5cd11a2022-12-22T01:30:00ZspaElsevierAtención Primaria0212-65672014-01-01461152410.1016/j.aprim.2013.06.004Population prevalence and control of cardiovascular risk factors: What electronic medical records tell usArantxa Catalán-Ramos0Jose M. Verdú1María Grau2Manuel Iglesias-Rodal3José L. del Val García4Alicia Consola5Eva Comin6Àmbit d’Avaluació de Farmàcia, Agència de Qualitat i Avaluació Sanitàries de Catalunya, Barcelona, SpainInstitut Català de la Salut, Barcelona, SpainIMIM – Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, SpainInstitut Català de la Salut, Barcelona, SpainInstitut Català de la Salut, Barcelona, SpainAplicaciones en Informática Avanzada (AIA) S.L., Barcelona, SpainUnitat de Coordinació i Estratègia del Medicament, Direcció Adjunta d’Afers Assistencials, Institut Català de la Salut, Barcelona, SpainObjective: To analyze the prevalence, control, and management of hypertension, hypercholesterolemia, and diabetes mellitus type 2 (DM2). Design: Cross-sectional analysis of all individuals attended in the Catalan primary care centers between 2006 and 2009. Location: 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. Participants: Individuals aged 35–74 years using primary care databases. Main measures: A total of 2,174,515 individuals were included (mean age 52 years [SD 11], 47% men). Results: 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%). Conclusions: 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.http://www.sciencedirect.com/science/article/pii/S0212656713001996Electronic Health RecordsHypercholesterolemiaHypertensionDiabetes mellitus type 2Primary health carePrevalence |
| spellingShingle | Arantxa Catalán-Ramos Jose M. Verdú María Grau Manuel Iglesias-Rodal José L. del Val García Alicia Consola Eva Comin Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us Atención Primaria Electronic Health Records Hypercholesterolemia Hypertension Diabetes mellitus type 2 Primary health care Prevalence |
| title | Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us |
| title_full | Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us |
| title_fullStr | Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us |
| title_full_unstemmed | Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us |
| title_short | Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us |
| title_sort | population prevalence and control of cardiovascular risk factors what electronic medical records tell us |
| topic | Electronic Health Records Hypercholesterolemia Hypertension Diabetes mellitus type 2 Primary health care Prevalence |
| url | http://www.sciencedirect.com/science/article/pii/S0212656713001996 |
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