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Med Clin (Barc). 2013 Mar 16;140(6):246-54. doi: 10.1016/j.medcli.2012.05.043. Epub 2012 Nov 28.

[Vascular risk in outpatient from Internal Medicine departments. MICARE Study].

[Article in Spanish]

Collaborators (290)

Linares Figallo J, Muñoz Soler MJ, Rivero Sanchez M, Geraldia Lama MJ, Garcia Fuentes F, Aguilar Gallego M, Maraver Delgado JM, Holgado Salado R, Elvira Gonzalez J, Lopez Suarez A, Beltran Robles M, Bascuñana Quirell A, Fuentes Jimenez FJ, Machin Ramirez R, Lopez Medina JA, Lobon Hernandez J, Linares Linares JJ, Ramos Cortes JL, Franco Cebrian J, Sancho Villanova F, Sanchez Huelva H, Garcia Diaz C, Romero Ferreira MD, Garijo Forcada JM, Montero FF, Gil Cunquero JM, Borrego Utiel FJ, Liebana Cañada A, Navarro Herrara J, Carmona Alvarez JA, Martinez Gonzalez J, Garcia Arias C, Lara Fernandez A, Hidalgo Conde AM, Peña Jimenez D, Guil Garcia M, Salgado Ordoñez FM, Angel MM, Stiefel Garcia-Junco P, Lopez Alonso RJ, Muñiz Erijalvo O, Blanco Suarez M, Aguirre Palacio AC, Lopez Chozas JM, Pizarro Nuñez JL, Perez Lorenz JB, Gonzalez Igual JJ, Zabala Lopez S, Berdun Cheliz MA, Guerrero Navarro L, Martinez Berganza A, Arnal Gracia R, Polo PH, del Hoyo Aragón JC, Molina Lorente E, Chobak Hajjar Z, Abad Requejo P, Fernandez Fernandez MC, Ibrahim Basha AA, Magdalena Mendez P, Mazorra Iraculis M, Escribano Sevillano D, Vallalta Morales C M, Martinez Salazar FL, Cabades O'calahan F, Gascon Ramon G, Baño Aracil M, Pons Prades R, Rodilla Sala E, Abdilla Bonias N, Fabia Valls MJ, Fernandez Rodriguez CA, Gonzalez Rico MA, Pascual Izuel JM, Tamarit Garcia JJ, Todoli Parra JA, Campo Lopez C, Morata Aldea C, Roig Espert B, Daudi ER, Saro Perez E, Aguilar Jimenez J, Calabuig Alborch JR, Alonso Estelles R, Mico Giner L, Santamaria Martin A, Lillo Sanchez A, Beneyto Florido M, Folgado Montesinos JF, Godoy Rocati D, Montagud Moncho JB, Aparicio Blasco A, Gonzalez-Cruz Cervellera A, Bernacer Alpera B, Robles Iniesta A, Moreno Ramirez-Cardenas D, Rueda Gordillo D, Anniccherico Sanchez FJ, Alonso Martinez JL, Solano Remirez M, Fernandez Ladron V, Olivan Ballabriga A, Delgado Casas MJ, Hernandez Hernandez JL, Barragan Casas JM, Alonso Gonzalez J, Martinez Ramos C, Perez EF, Nuñez CT, Vega Rollan F, Garcia Alvarez JA, Cuende Melero JI, Chimeno Viñas MM, Dominguez Moronta F, Sanz Ortega F, Mateos Sanchez A, Moreno Palomares J, Villanueva Marcos R, Ojeda Ortega J, San Jose Alonso J, Lopez de Juan M, Santos Bermejo JA, Melero Bascones M, Barba Romero MA, Olivas Garcia E, Bellido Pastrana D, Moreno Onorato S, Carazo Marin AF, Mercedes RC, Hervas Laguna MJ, Marchan Carranza E, Perez Nicolas M, Alguacil Muñoz AM, Angel SC, Arroyo JA, Sobrino Martinez J, Vila Planas J, Roca-Cusacs Coll A, Grau Amoros J, Cabezas Gelabert R, Botet Pont C, Lluch Targarona Mdel M, Vera Rivera M, Lopez EP, Domenech M, Rey Santos R, Sierra Benito C, Espinel Garuz E, Tortosa Henzi F, Tricas Leris JM, Rotllan Verdaguer A, Boada Playa FX, Armengol Ravet R, Giralt Celimendiz P, Gil Bonet A, Palos Ortega MA, Junque Gutierrez JA, Hernandez Hernandez A, Nogues Antich FJ, Martret Redrado J, Minguez Sanz A, Plana Rodriguez J, Marchena Yglesias PJ, Zamora Cervantes A, Almendros Rivas MC, Toda Savall MR, Cuxart Perez M, Torres Cortada G, Soler Rosell T, Sacristan Garcia O, Jimenez Perez M, Vila Bordalba O, Gazquez Sistere I, Perez Sainz A, Casas Artal M, Cartanya Benet A, Romerales Rodriguez A, de Leon MM, Ledesma Jurado V, Carlos J, Ramos Salado JL, Arevalo Lorido JC, Torres Garcia E, Costo Campoamor A, Crespo Rincon L, Barbagelata Martinez A, Herranz Gonzalez JM, Moreno Sanjuan JA, Castro Fernandez P, Castro SM, Ferron Vidan F, Sanchez Leira J, Puerta Louro RB, Otero Otero Y, Pena Seijo M, Mallo Gonzalez N, Muinelo Voces I, Guerrero Lombardita J, Cadavid Rodriguez A, Quiroga Gayoso P, Nuñez Calvo ML, Lopez Barros G, Bravo Blanco AM, Lopez Mouriño VM, De La Fuente Aguado J, Rodriguez Garcia JC, Perez Alvarez R, Garcia-Tizon JP, Garcia Roman JM, Fernandez Fernandez J, Schneider P, Losada Lopez I, Forteza-Rey Borralleras J, Martinez Riera AM, Suarez Cabrera MM, Suarez Ortega S, Alonso Ortiz MB, Ojeda Sosa A, Bautista Salinas RM, Pizarro Zinny R, Moran Dacal JM, Perez Marin JC, Artiles Vizcaino J, Gonzalez Reyes Islas A, Ruiz Lacambra JJ, Rodriguez Gaspar M, Rosquete Gonzalez J, Correa Nazio VJ, Davila Ramos F, Mosquera Lozano JD, Brea Hernando A, Marquez M, Peña Somovilla JL, Rosel Rioja L, Salcedo Aguilar J, Cuadrado Gomez LM, Gutierrez Marcos F, Arevalo Serrano J, Horcajo Aranda P, Lopez-Vidriero Abello E, Ortiz Ortiz ME, Arranz Garcia G, Yuste Llandres RM, Casado Cerrada JM, Garcia Polo I, Yebra Yebra M, Puchades Rincon de Arellano R, Sanchez Molini P, Cruz Carreño M, Rios Blanco JJ, Montero Hernandez E, Navarro San Francisco C, Echarri Carrillo R, Satue Bartolome JA, Muñoz de la Paz MC, Alegre Zahonero L, Lozano Maneiro L, Gonzalez Anglada MI, Pastor Valverde C, Ocaña Villegas J, Lopez Jimenez M, Garcia Donaire JA, Antolin Arias J, Cuguenza Gabriel R, Reinares Garcia L, Saiz Garcia F, Abad Cardiel M, Cerezo Olmos C, Villarreal Balza de Valllejo JJ, Avellanal Legarda D, Villar Gomez I, Martinez Berriochoa A, Ruiz Arruza I, Peña Sarnago P, San Pedro IC, de La Riva Aguinaco C, Arzuaga Torre JA, Erdozain Castiella JG, Bilbao Goitia P, Perez Gracia A, Ortega Lopez ND, Salinas Caballero F, Herrera Adan S, Garre Canovas J, Sanchez Llinares JR, Millan Rodriguez Mdel R, Martinez Lopez V, Huergo Silvero AM, Fernandez Pueta AM, Hergoz Gisbert M.

Author information

  • 1Servicio de Medicina Interna, Hospital Son Llàtzer, Palma de Mallorca, España. andres.delapen@gmail.com

Abstract

BACKGROUND AND OBJECTIVES:

The population attended in the Spanish Internal Medicine departments is of increasing age, but the prevalence of vascular risk factors and its degree of control are unknown, as well as the differences by type of hospital or consulting room.

PATIENTS AND METHODS:

Epidemiologic, transversal and metacentric study in patients ≥ 18 years treated in outpatient Internal Medicine hospital. Two-hundred and ninety physicians from 17 Autonomic Communities participated in the study. The type of hospital or consulting room was also recorded. Blood pressure control was defined as <140/90 mm Hg (<130/80 mm Hg in diabetics or patients with vascular disease), LDL-cholesterol control when<130 mg/dl (<100mg/dl in diabetic or vascular disease) and diabetes control if glycated hemoglobin was<7%.

RESULTS:

Data from 2,704 patients was collected (54% men) mean age (SD) 64,1 (14,5) years. Ninety-three percent of them had at least one cardiovascular risk factor: hypertension 73.9%, dyslipidemia 59.5%, abdominal obesity 43.4%, diabetes 39.5%. Fifty percent had some target organ damaged, 46.7% showed vascular disease and 71.2% a high or very high vascular risk. Control over risk factors was: hypertension 33.8%, cholesterol-LDL 40.8% and diabetes 50.7%. There were no differences between type of hospital or type of outpatient consultancy.

CONCLUSIONS:

Over 90% of patients treated in outpatient consultancies of Internal Medicine departments present vascular risk factors, regardless of the type of hospital or type of consulting room. Risk factors control was poor.

Copyright © 2012 Elsevier España, S.L. All rights reserved.

PMID:
23199827
[PubMed - indexed for MEDLINE]
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