MAIN CARDIOVASCULAR RISK FACTORS- ASSOCIATION AND CONTROL IN A PRIMARY HEALTHCARE SETTING
Author(s)
Jaime F Bobadilla, MD, Outcomes Research Manager CV1, Antoni Sicras, MD, Head of Information Systems2, Ruth Navarro, MD, Head of Medical Documentation2, Javier Rejas, MD, Outcomes Research Manager1, Mercedes García, PhD, Outcomes Research Technician3, Paloma González, PhD, Outcomes Research Manager11Pfizer Spain, Alcobendas, Madrid, Spain; 2 Badalona Servicios Asistenciales, Badalona, Barcelona, Spain; 3 Euroclin Institute, Alcobendas, Madrid, Spain
OBJECTIVES: To determine the association and the therapeutic control goals of certain cardiovascular risk factors (CVRF) in a Spanish primary care population. METHODS: A retrospective study was performed based on patient's data from five ambulatory primary care centres. Patients aged > 18 years, attended during year 2004, with at least one major CVRF were included. The following variables were analysed: age, sex, main diagnosis (hypertension, dyslipidemia, diabetes and/or cardiovascular event [ECV]) and clinical parameters (systolic blood pressure, diastolic blood pressure, LDLc, HbA1c). Therapeutic control goals were established according to NCEP-ATP III. A bivariant analysis and a binary logistic regression model were performed to fit the model. The statistical program SPSS was used with a 5% significance level. RESULTS: A total of 15,470 patients had at least one CVRF. Mean age was 61.3 ± 14.3; 53.7% were female and 14.2% had a history of CVD. The diagnosis was hypertension in 60.6%, diabetes in 26.7% and hipercolesterolemia in 49.5%. The presence of CVRF > 3 was confirmed in 5.8% and CVD in 28.3%. The percentage of patients who uncontroled BP or TC was 46.4% and 48.7%, respectively. The correction of the logistic model demonstrated the association of CVD with male sex (OR = 2.6), diabetes (OR = 2.2), dyslipidemia (OR = 1.6), BP (OR = 1.3) and age (OR = 1.1), p <0.05. CONCLUSIONS: Therapeutic control goals in primary care setting might be improved. It would be necessary to make new representative studies showing the degree of control of our patients in daily clinical practice.
Conference/Value in Health Info
2006-10, ISPOR Europe 2006, Copenhagen, Denmark
Value in Health, Vol. 9, No.6 (November/December 2006)
Code
PCV16
Topic
Epidemiology & Public Health
Disease
Cardiovascular Disorders, Multiple Diseases