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Excess risk attribu...
Excess risk attributable to traditional cardiovascular risk factors in clinical practice settings across Europe : The EURIKA Study
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- Guallar, Eliseo (author)
- 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
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- Banegas, José R. (author)
- Universidad Autónoma de Madrid, Spain ; Instituto de Salud Carlos III, Spain
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- Blasco-Colmenares, Elena (author)
- Johns Hopkins Bloomberg School of Public Health, USA
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- Jimenez, Javier F (author)
- AstraZeneca Europe, -
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- Dalongeville, Jean (author)
- Institut Pasteur de Lille, France
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- Halcox, Julian P (author)
- Cardiff University, Walws
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- Borghi, Claudio (author)
- University of Bologna, Italy
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- Massó-González, Elvira L (author)
- AstraZeneca Farmacéutica Spain, Spain
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- Tafalla, Mónica (author)
- AstraZeneca Farmacéutica Spain, Spain
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- Perk, Joep, 1945- (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap, HV
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- De Backer, Guy (author)
- University of Gent, Belgium
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- Steg, Phiilippe G (author)
- Assistance Publique-Hôpitaux de Paris, France ; Paris Diderot University, France
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- Rodriquez-Artalejo, Fernando (author)
- Universidad Autónoma de Madrid, Spain ; CIBER of Epidemiology and Public Health, Spain
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(creator_code:org_t)
- 2011-09-18
- 2011
- English.
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In: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 18:11
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https://doi.org/10.1...
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Abstract
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- cardiovascular disease
- mortality
- risk factors
- control
- SCORE
- Hälsovetenskap
- Health and Caring Sciences
Publication and Content Type
- ref (subject category)
- art (subject category)
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Guallar, Eliseo
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Banegas, José R.
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Blasco-Colmenare ...
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Jimenez, Javier ...
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Dalongeville, Je ...
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Halcox, Julian P
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Borghi, Claudio
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Massó-González, ...
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Tafalla, Mónica
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Perk, Joep, 1945 ...
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De Backer, Guy
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Steg, Phiilippe ...
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Rodriquez-Artale ...
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Linnaeus University