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Aten Primaria. 2014 Jan;46(1):15-24. doi: 10.1016/j.aprim.2013.06.004. Epub 2013 Dec 9.

Population prevalence and control of cardiovascular risk factors: what electronic medical records tell us.

Author information

1
Àmbit d'Avaluació de Farmàcia, Agència de Qualitat i Avaluació Sanitàries de Catalunya, Barcelona, Spain; Unitat de Coordinació i Estratègia del Medicament, Direcció Adjunta d'Afers Assistencials, Institut Català de la Salut, Barcelona, Spain. Electronic address: acatalanra@gencat.cat.
2
Institut Català de la Salut, Barcelona, Spain; Universitat Autònoma de Barcelona, Spain.
3
IMIM - Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.
4
Institut Català de la Salut, Barcelona, Spain.
5
Institut Català de la Salut, Barcelona, Spain; Institut d'Investigació en Atenció Primària Jordi Gol, Barcelona, Spain.
6
Aplicaciones en Informática Avanzada (AIA) S.L., Barcelona, Spain.
7
Unitat de Coordinació i Estratègia del Medicament, Direcció Adjunta d'Afers Assistencials, Institut Català de la Salut, Barcelona, Spain.

Abstract

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 (<140/90mmHg, achieved in 68% of men and 60% of women treated). Hypercholesterolemia was controlled (low-density lipoprotein cholesterol <130mg/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.

KEYWORDS:

Atención Primaria; Diabetes Mellitus tipo 2; Diabetes mellitus type 2; Electronic Health Records; Hipercolesterolemia; Hipertensión; Historia clínica electrónica; Hypercholesterolemia; Hypertension; Prevalence; Prevalencia; Primary health care

PMID:
24325864
DOI:
10.1016/j.aprim.2013.06.004
[Indexed for MEDLINE]
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