Factors associated with cardiovascular risk and cardiovascular and renal disease in the IBERICAN study: Final results
Por:
Cinza-Sanjurjo S, Micó-Pérez RM, Velilla-Zancada S, Prieto-Díaz MA, Rodríguez-Roca GC, Barquilla García A, Polo García J, Martín Sánchez V and Llisterri Caro JL
Publicada:
1 sep 2020
Ahead of Print:
30 ago 2020
Resumen:
Objective: To analyse the prevalence in clinical practice of cardiovascular risk factors (CVRF) and cardiovascular disease (CVD), as well as their causal relationship, in the study inclusion visit.
Material and methods: Cross-sectional analysis of the study inclusion visit of 8,066 patients of 18 to 85 years of age included in the IBERICAN study. By reviewing the medical history, analytics and medical visits, the patient's physician has collected socio-demographic information, personal and family history and prevalence of CVRF and CVD and renal disease. A multivariate analysis was carried out using a logistic regression that included the autonomous region variable as a random effect variable, in order to analyse the impact of certain variables on the development of each CVRF, metabolic syndrome, subclinical organ damage, renal disease, and CVD.
Results: Dystipidaemia was 2.4 times more frequent in diabetics, and the risk was increased by 59% in hypertensive patients. Arterial hypertension was twice as frequent in diabetics, and increased 94% in hyperuricaemic patients and 62.1% in dyslipidaemia patients. Diabetes mellitus was 2.5 times higher in dyslipidaemia patients, and 2.2 times higher in hypertensive patients. CVD was four times more frequent in patients with a family history, and the risk in women was increased by 90.8% and by 53.8% in patients with renal disease.
Conclusions: The Spanish population seen in Primary Care that were analysed in the IBERICAN study had a high prevalence of CVRF and CVD, which gives it a high CVR. The multivariate analysis performed shows a close causal relationship between the CVRF with each other, and with renal disease and CVD. (C) 2020 Sociedad Espanola de Medicos de Atencien Primaria (SEMERGEN). Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Cinza-Sanjurjo S:
Centro de Salud de Porto do Son, AS Santiago de Compostela, Porto do Son, A Coruña, España
:
Centro de Salud de Fontanars dels Alforins, EAP Ontinyent, Fontanars dels Alforins, Valencia, España
Velilla-Zancada S:
Centro de Salud Joaquín Elizalde, Logroño, España
Prieto-Díaz MA:
Centro de Salud Vallobín-La Florida, Oviedo, España
Rodríguez-Roca GC:
Centro de Salud de Puebla de Montalbán, La Puebla de Montalbán, Toledo, España
Barquilla García A:
Centro de Salud de Trujillo, Trujillo, Cáceres, España
Polo García J:
Centro de Salud Casar de Cáceres, Casar de Cáceres, Cáceres, España
Martín Sánchez V:
Instituto de Biomedicina (IBIOMED), Universidad de León, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), León, España
:
Fundación Sociedad Española de Médicos de Atención Primaria, Semergen, Madrid, España
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