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Sökning: onr:"swepub:oai:DiVA.org:lnu-18857" > Excess risk attribu...

Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe : The EURIKA Study

Guallar, Eliseo (författare)
Johns Hopkins Bloomberg School of Public Health, USA ; Johns Hopkins School of Medicine, USA ; Johns Hopkins Medical Institutions, USA ; National Center for Cardiovascular Research (CNIC), Spain
Banegas, José R. (författare)
Universidad Autónoma de Madrid, Spain ; Instituto de Salud Carlos III, Spain
Blasco-Colmenares, Elena (författare)
Johns Hopkins Bloomberg School of Public Health, USA
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Jimenez, Javier F (författare)
AstraZeneca Europe, -
Dalongeville, Jean (författare)
Institut Pasteur de Lille, France
Halcox, Julian P (författare)
Cardiff University, Walws
Borghi, Claudio (författare)
University of Bologna, Italy
Massó-González, Elvira L (författare)
AstraZeneca Farmacéutica Spain, Spain
Tafalla, Mónica (författare)
AstraZeneca Farmacéutica Spain, Spain
Perk, Joep, 1945- (författare)
Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap, HV
De Backer, Guy (författare)
University of Gent, Belgium
Steg, Phiilippe G (författare)
Assistance Publique-Hôpitaux de Paris, France ; Paris Diderot University, France
Rodriquez-Artalejo, Fernando (författare)
Universidad Autónoma de Madrid, Spain ; CIBER of Epidemiology and Public Health, Spain
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 (creator_code:org_t)
2011
2011
Engelska.
Ingår i: BMC Public Health. - 1471-2458 .- 1471-2458. ; 18:11
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • BackgroundPhysicians involved in primary prevention are key players in CVD risk control strategies, but the expected reduction in CVD risk that would be obtained if all patients attending primary care had their risk factors controlled according to current guidelines is unknown. The objective of this study was to estimate the excess risk attributable, firstly, to the presence of CVD risk factors and, secondly, to the lack of control of these risk factors in primary prevention care across Europe.MethodsCross-sectional study using data from the European Study on Cardiovascular Risk Prevention and Management in Daily Practice (EURIKA), which involved primary care and outpatient clinics involved in primary prevention from 12 European countries between May 2009 and January 2010. We enrolled 7,434 patients over 50 years old with at least one cardiovascular risk factor but without CVD and calculated their 10-year risk of CVD death according to the SCORE equation, modified to take diabetes risk into account.ResultsThe average 10-year risk of CVD death in study participants (N = 7,434) was 8.2%. Hypertension, hyperlipidemia, smoking, and diabetes were responsible for 32.7 (95% confidence interval 32.0-33.4), 15.1 (14.8-15.4), 10.4 (9.9-11.0), and 16.4% (15.6-17.2) of CVD risk, respectively. The four risk factors accounted for 57.7% (57.0-58.4) of CVD risk, representing a 10-year excess risk of CVD death of 5.66% (5.47-5.85). Lack of control of hypertension, hyperlipidemia, smoking, and diabetes were responsible for 8.8 (8.3-9.3), 10.6 (10.3-10.9), 10.4 (9.9-11.0), and 3.1% (2.8-3.4) of CVD risk, respectively. Lack of control of the four risk factors accounted for 29.2% (28.5-29.8) of CVD risk, representing a 10-year excess risk of CVD death of 3.12% (2.97-3.27).ConclusionsLack of control of CVD risk factors was responsible for almost 30% of the risk of CVD death among patients participating in the EURIKA Study.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

cardiovascular disease
mortality
risk factors
control
SCORE
Hälsovetenskap
Health and Caring Sciences

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