Adecuación de la prescripción de hipolipemiantes y riesgo cardiovascular en pacientes con hipercolesterolemia

Segade Buceta, X.M.; Dosil Díaz, O.

doi:10.1016/S0213-9111(02)71931-6

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Segade Buceta, O. Dosil Díaz" "autores" => array:2 [ 0 => array:4 [ "nombre" => "X.M." "apellidos" => "Segade Buceta" "email" => array:1 [ 0 => "Xose.Segade.Buceta@sergas.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "O." "apellidos" => "Dosil Díaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Área de Atención Primaria. Santiago de Compostela" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Salud de Vite. Santiago de Compostela" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Xosé M. Segade Buceta. Ambulatorio Concepción Arenal. Santiago León de Caracas, 12, 4.a. 15701 Santiago de Compostela. A Coruña." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "(Appropriateness of lipid-lowering treatment and cardiovascular risk in patients with hypercholesterolemia)" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-10-30" "fechaAceptado" => "2002-04-04" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268852" "palabras" => array:4 [ 0 => "Hipercolesterolemia" 1 => "Riesgo cardiovascular" 2 => "Prevención primaria" 3 => "Atención primaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268853" "palabras" => array:4 [ 0 => "Hypercholesterolemia" 1 => "Cardiovascular risk" 2 => "Primary prevention" 3 => "Primary care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "ObjetivoValorar la adecuacion en la prescripcion de hipolipemiantes y conocer diversas caracteristicas clinicoepidemiologicas de los pacientes con hipercolesterolemia. MetodoPoblacion objeto de estudio: todos los pacientes con hipercolesterolemia pertenecientes a tres centros de salud urbanos. Muestreo por conglomerados monoetapico (n = 724). Estudio descriptivo con dos tipos de diseno: longitudinal retrospectivo y transversal. Para el primero de los disenos se utilizaron las nuevas tablas de riesgo cardiovascular (RCV) de Sheffield; para el segundo, las de Framingham por categorias (Grundy). ResultadosEntre los pacientes en prevencion primaria, hubo una adecuacion en la prescripcion en un 44,2% de los pacientes. Tienen actualmente un riesgo absoluto elevado (. 20% a 10 anos) un 8,9% (1,1) de nuestros pacientes de 30 a 74 anos de edad en prevencion primaria. Estan con un riesgo relativo elevado un 6,0% (0,8) y levemente por encima del limite un 18,1% (2,0). ConclusionesEn mas 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." ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "ObjectiveTo assess the appropriateness of lipid-lowering treatment and to determine the clinical and epidemiological characteristics of patients with hypercholesterolemia. MethodThe 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 crosssectional. For the first we used the new Sheffield tables for cardiovascular risk; for the second, the Framingham categorical tables (Grundy). ResultsAmong 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. ConclusionsMore 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." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliogrífia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortalidad en España en 1997" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.V. Martínez" 1 => "A. Llácer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Bol Epidemiol Sem" "fecha" => "2000" "volumen" => "8" "paginaInicial" => "253" "paginaFinal" => "260" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortalidad en España en 1996" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.V. Martínez" 1 => "A. Llácer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Bol Epidemiol Sem" "fecha" => "1999" "volumen" => "7" "paginaInicial" => "169" "paginaFinal" => "176" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortalidad en España en 1995" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.V. Martínez" 1 => "A. Llácer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Bol Epidemiol Sem" "fecha" => "1998" "volumen" => "6" "paginaInicial" => "105" "paginaFinal" => "111" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortalidad cardiovascular en España y sus comunidades autónomas (1975-1992)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F. Villar" 1 => "J.R. Banegas" 2 => "F. Rodríguez" 3 => "J. Rey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "1998" "volumen" => "110" "paginaInicial" => "321" "paginaFinal" => "327" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Situación epidemiológica de las enfermedades cardiovasculares arterioscleróticas (I): mortalidad y morbilidad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.J. Medrano" 1 => "J. Almazán" 2 => "M.J. Sierra" 3 => "M.T. Olalla" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Bol Epidemiol Sem" "fecha" => "1998" "volumen" => "6" "paginaInicial" => "149" "paginaFinal" => "153" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La mortalidad cardiovascular en España" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Villar" 1 => "J.R. Banegas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev San Hig Pub" "fecha" => "1991" "volumen" => "65" "paginaInicial" => "5" "paginaFinal" => "7" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The burden of cardiovascular disease mortality in Europe. Task Force on the European Society of Cardiology on Cardiovascular Mortality and Morbidity Statistics in Europe" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Sans" 1 => "H. Kesteloot" 2 => "D. Kromhout" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Heart J" "fecha" => "1997" "volumen" => "18" "paginaInicial" => "1231" "paginaFinal" => "1248" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9508543" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Control de la colesterolemia en España, 2000. Un instrumento para la prevención cardiovascular" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "I. Plaza" 1 => "F. Villar" 2 => "P. Mata" 3 => "F. Pérez" 4 => "A. Maiquez" 5 => "J.A. Casasnovas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Cardiol" "fecha" => "2000" "volumen" => "53" "paginaInicial" => "815" "paginaFinal" => "837" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10944975" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Las tablas de riesgo cardiovascular. Una revisión crítica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Álvarez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "MEDIFAM" "fecha" => "2001" "volumen" => "11" "paginaInicial" => "122" "paginaFinal" => "139" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Riesgo coronario y prescripción en pacientes con hipercolesterolemia en atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.V. Bonné" 1 => "O. González" 2 => "E. Charques" 3 => "M.M. Alonso" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "2000" "volumen" => "25" "paginaInicial" => "209" "paginaFinal" => "213" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10795432" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Coronary and cardiovascular risk estimation for primary prevention: validation of a new Sheffield table in the 1995 Scottish health survey population" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E.J. Wallis" 1 => "L.E. Ramsay" 2 => "I.U. Haq" 3 => "P. Ghahramani" 4 => "P.R. Jackson" 5 => "K. Rowland-Yeo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BMJ" "fecha" => "2000" "volumen" => "320" "paginaInicial" => "671" "paginaFinal" => "676" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10710573" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prediction of coronary heart disease using risk factor categories" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P.W.F. Wilson" 1 => "R.B. D'Agostino" 2 => "D. Levy" 3 => "A.M. Belanger" 4 => "H. Silbershatz" 5 => "W.B. Kannel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1998" "volumen" => "97" "paginaInicial" => "1837" "paginaFinal" => "1847" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9603539" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.M. Grundy" 1 => "R. Pasternak" 2 => "P. Greenland" 3 => "S. Smith" 4 => "V. Fuster" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1999" "volumen" => "100" "paginaInicial" => "1481" "paginaFinal" => "1492" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10500053" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guías de práctica clínica de la Sociedad Española de Cardiología en prevención cardiovascular y rehabilitación cardíaca" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.A. Velasco" 1 => "J. Cosín" 2 => "J.M. Maroto" 3 => "J. Muñiz" 4 => "J.A. Casasnovas" 5 => "I. Plaza" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Cardiol" "fecha" => "2000" "volumen" => "53" "paginaInicial" => "1095" "paginaFinal" => "1120" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10956605" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prediction of coronary risk for primary prevention of coronary heart disease: a comparison of methods" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I.U. Haq" 1 => "L.E. Ramsay" 2 => "P.R. Jackson" 3 => "E.J. Wallis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "QJM" "fecha" => "1999" "volumen" => "92" "paginaInicial" => "379" "paginaFinal" => "385" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10627887" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparative accurary of cardiovascular risk prediction methods in primary care patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.F. Jones" 1 => "J. Walker" 2 => "C. Jewkes" 3 => "F.L. Game" 4 => "W.A. Bartlett" 5 => "T. Marshall" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Heart" "fecha" => "2001" "volumen" => "85" "paginaInicial" => "37" "paginaFinal" => "43" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11119458" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC). Guía de prevención cardiovascular" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Grupo de Prevención Cardiovascular del Programa de Actividades Preventivas y Promoción de la Salud (PAPPS)" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:1 [ "serieFecha" => "1996" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hyperlipidaemia and primary prevention of coronary heart disease: are the right patients being treated?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S. Ramachandran" 1 => "M.H. Labib" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Cardiovasc Risk" "fecha" => "2000" "volumen" => "7" "paginaInicial" => "245" "paginaFinal" => "249" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11006894" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "¿Cuándo y cómo tratamos a nuestros pacientes hipercolesterolémicos?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Bonet" 1 => "I. García" 2 => "P. Tomás" 3 => "I. Tapia" 4 => "P. Gussinyé" 5 => "X. Mundet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1999" "volumen" => "24" "paginaInicial" => "397" "paginaFinal" => "403" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10592547" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Calidad del tratamiento farmacológico en pacientes con hiperlipemia de 4 áreas de salud" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T. Sanz" 1 => "E. Escortell" 2 => "M.I. Fernández" 3 => "C. López" 4 => "B. Medina" 5 => "C. Torres" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "2000" "volumen" => "26" "paginaInicial" => "368" "paginaFinal" => "373" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11111308" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comparison of algorithms for initiation of lipid lowering therapy in primary prevention of coronary heart disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.S. Wierzbicki" 1 => "T.M. Reynolds" 2 => "K. Gill" 3 => "S. Alg" 4 => "M.A. Crook" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Cardiovasc Risk" "fecha" => "2000" "volumen" => "7" "paginaInicial" => "63" "paginaFinal" => "71" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10785876" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Indications for cholesterol-lowering medication: comparison of risk-assessment methods" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.N. Durrington" 1 => "H. Prais" 2 => "D. Bhatnagar" 3 => "M. France" 4 => "V. Crowley" 5 => "J. Khan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "1999" "volumen" => "353" "paginaInicial" => "278" "paginaFinal" => "281" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9929020" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk assessment in primary prevention of coronary heart disease: randomised comparison of three scoring methods" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.G. Isles" 1 => "L.D. Ritchie" 2 => "P. Murchie" 3 => "J. Norrie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BMJ" "fecha" => "2000" "volumen" => "320" "paginaInicial" => "690" "paginaFinal" => "691" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10710579" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La prevención secundaria del infarto de miocardio en España. Estudio PREVESE" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.A. De Velasco" 1 => "J. Cosín" 2 => "J.L. López" 3 => "E. De Teresa" 4 => "M. De Oya" 5 => "J.L. Carrasco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Cardiol" "fecha" => "1997" "volumen" => "50" "paginaInicial" => "406" "paginaFinal" => "415" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9304163" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Criterios de utilización de estatinas." "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Insalud (Atención Primaria Baleares)" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Bol Inf Terap" "fecha" => "2000" "volumen" => "2" "paginaInicial" => "61" "paginaFinal" => "68" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719316/v1_201310251715/es/main.assets" "Apartado" => array:4 [ "identificador" => "18705" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02139111/0000001600000004/v1_201310251715/S0213911102719316/v1_201310251715/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719316?idApp=WGSE"]

Gaceta Sanitaria

ISSN: 0213-9111

Gaceta Sanitaria es la revista científica y órgano de expresión de la Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS).
Gaceta Sanitaria acepta para su publicación artículos en español e inglés. Es una revista Open Access (OA); todos sus artículos son accesibles libremente sin cargo para el usuario y se distribuyen con la licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional

Call for papers: Special Issue on Health Economics

Convocatoria abierta y permanente para incorporar Editores/as asociados/as al Comité Editorial de Gaceta Sanitaria

Call for papers: Special Issue on Health Economics

Open and permanent call to incorporate Associate Editors to the Editorial Committee of Gaceta Sanitaria

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Web of Science (Science Citation Index, SCI, y Social Sciences Citation Index, SSCI), Medline/PubMed, Index Medicus, Scopus, Scielo, IBECS, Índice Médico Español, Toxline, Cancerlit, Aidsline, Cab Health, Bibliomed, Cuiden, Eventline y Healthstar

Poblacion objeto de estudio: todos los pacientes con hipercolesterolemia pertenecientes a tres centros de salud urbanos. Muestreo por conglomerados monoetapico (n = 724). Estudio descriptivo con dos tipos de diseno: longitudinal retrospectivo y transversal. Para el primero de los disenos se utilizaron las nuevas tablas de riesgo cardiovascular (RCV) de Sheffield; para el segundo, las de Framingham por categorias (Grundy).

Resultados

Entre los pacientes en prevencion primaria, hubo una adecuacion en la prescripcion en un 44,2% de los pacientes. Tienen actualmente un riesgo absoluto elevado (. 20% a 10 anos) un 8,9% (1,1) de nuestros pacientes de 30 a 74 anos de edad en prevencion primaria. Estan con un riesgo relativo elevado un 6,0% (0,8) y levemente por encima del limite un 18,1% (2,0).

Conclusiones

En mas 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.

Palabras clave:

Hipercolesterolemia

Riesgo cardiovascular

Prevención primaria

Atención primaria

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 crosssectional. 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.

Key words:

Hypercholesterolemia

Cardiovascular risk

Primary prevention

Primary care

El Texto completo está disponible en PDF

Bibliogrífia

[1.]

M.V. Martínez, A. Llácer.

Mortalidad en España en 1997.

Bol Epidemiol Sem, 8 (2000), pp. 253-260

[2.]

M.V. Martínez, A. Llácer.

Mortalidad en España en 1996.

Bol Epidemiol Sem, 7 (1999), pp. 169-176

[3.]

M.V. Martínez, A. Llácer.

Mortalidad en España en 1995.

Bol Epidemiol Sem, 6 (1998), pp. 105-111

[4.]

F. Villar, J.R. Banegas, F. Rodríguez, J. Rey.

Mortalidad cardiovascular en España y sus comunidades autónomas (1975-1992).

Med Clin (Barc), 110 (1998), pp. 321-327

[5.]

M.J. Medrano, J. Almazán, M.J. Sierra, M.T. Olalla.

Situación epidemiológica de las enfermedades cardiovasculares arterioscleróticas (I): mortalidad y morbilidad.

Bol Epidemiol Sem, 6 (1998), pp. 149-153

[6.]

F. Villar, J.R. Banegas.

La mortalidad cardiovascular en España.

Rev San Hig Pub, 65 (1991), pp. 5-7

[7.]

S. Sans, H. Kesteloot, D. Kromhout.

The burden of cardiovascular disease mortality in Europe. Task Force on the European Society of Cardiology on Cardiovascular Mortality and Morbidity Statistics in Europe.

Eur Heart J, 18 (1997), pp. 1231-1248

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