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      Adecuación de la prescripción de hipolipemiantes y riesgo cardiovascular en pacientes con hipercolesterolemia Translated title: Appropriateness of lipid-lowering treatment and cardiovascular risk in patients with hypercholesterolemia

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          Abstract

          Objetivo: Valorar la adecuación en la prescripción de hipolipemiantes y conocer diversas características clinicoepidemiológicas de los pacientes con hipercolesterolemia. Método: Población objeto de estudio: todos los pacientes con hipercolesterolemia pertenecientes a tres centros de salud urbanos. Muestreo por conglomerados monoetápico (n = 724). Estudio descriptivo con dos tipos de diseño: longitudinal retrospectivo y transversal. Para el primero de los diseños se utilizaron las nuevas tablas de riesgo cardiovascular (RCV) de Sheffield; para el segundo, las de Framingham por categorías (Grundy). Resultados: Entre los pacientes en prevención primaria, hubo una adecuación en la prescripción en un 44,2% de los pacientes. Tienen actualmente un riesgo absoluto elevado (≥ 20% a 10 años) un 8,9% (1,1) de nuestros pacientes de 30 a 74 años de edad en prevención primaria. Están con un riesgo relativo elevado un 6,0% (0,8) y levemente por encima del límite un 18,1% (2,0). Conclusiones: En más de la mitad de los pacientes se prescribieron hipolipemiantes sin estar indicados mediante una tabla de riesgo. El RCV actual de nuestros pacientes es satisfactorio.

          Translated abstract

          Objective: To assess the appropriateness of lipid-lowering treatment and to determine the clinical and epidemiological characteristics of patients with hypercholesterolemia. Method: The study population comprised all the patients diagnosed with hypercholesterolemia in three urban health centres. A sample of 724 patients was obtaind through a one-stage conglomerate method. A descriptive study was performed with two types of designs: retrospective and longitudinal, and cross-sectional. For the first we used the new Sheffield tables for cardiovascular risk; for the second, the Framingham categorical tables (Grundy). Results: Among patients in primary prevention, prescription of lipid-lowering therapy was appropiate in 44.2%. A total of 8.9% (SE = 1.1) of the patients aged 30-74 years in primary prevention had a high absolute risk (≥ 20% over 10 years). Six percent (0.8) had a high relativd risk and 18.1% (2.0) had a moderately above-average risk. Conclusions: More than the half of the patients were prescribed lipid-lowering treatment that was not indicated by risk tables. The current cardiovascular risk of our patients is satisfactory.

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          Mortalidad en España en 1997

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            Author and article information

            Contributors
            Role: ND
            Role: ND
            Journal
            gs
            Gaceta Sanitaria
            Gac Sanit
            Ediciones Doyma, S.L. (Barcelona )
            0213-9111
            August 2002
            : 16
            : 4
            : 318-323
            Affiliations
            [1 ] Área de Atención Primaria
            [2 ] Centro de Salud de Vite
            Article
            S0213-91112002000400006
            154bc3b0-1d37-415c-abf6-7452737f4378

            http://creativecommons.org/licenses/by/4.0/

            History
            Categories
            Health Policy & Services

            Public health
            Hypercholesterolemia,Cardiovascular risk,Primary prevention,Primary care,Hipercolesterolemia,Riesgo cardiovascular,Prevención primaria,Atención primaria

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