Adecuación de la prescripción de hipolipemiantes y riesgo cardiovascular en pacientes con hipercolesterolemia
(Appropriateness of lipid-lowering treatment and cardiovascular risk in patients with hypercholesterolemia)
X.M. Segade Bucetaa,
, O. Dosil Díazb
Autor para correspondencia
Xose.Segade.Buceta@sergas.es
Correspondencia: Xosé M. Segade Buceta. Ambulatorio Concepción Arenal. Santiago León de Caracas, 12, 4.a. 15701 Santiago de Compostela. A Coruña.
Correspondencia: Xosé M. Segade Buceta. Ambulatorio Concepción Arenal. Santiago León de Caracas, 12, 4.a. 15701 Santiago de Compostela. A Coruña.
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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" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "O." "apellidos" => "Dosil Díaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "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" => "<span class="elsevierStyleItalic">Correspondencia</span>: 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" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la adecuacion en la prescripcion de hipolipemiantes y conocer diversas caracteristicas clinicoepidemiologicas de los pacientes con hipercolesterolemia.</p> <span class="elsevierStyleSectionTitle">Metodo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the appropriateness of lipid-lowering treatment and to determine the clinical and epidemiological characteristics of patients with hypercholesterolemia.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">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).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "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. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 3 | 4 | 7 |
| 2024 Octubre | 47 | 32 | 79 |
| 2024 Septiembre | 38 | 21 | 59 |
| 2024 Agosto | 48 | 33 | 81 |
| 2024 Julio | 42 | 23 | 65 |
| 2024 Junio | 28 | 20 | 48 |
| 2024 Mayo | 45 | 30 | 75 |
| 2024 Abril | 30 | 15 | 45 |
| 2024 Marzo | 42 | 24 | 66 |
| 2024 Febrero | 42 | 26 | 68 |
| 2024 Enero | 34 | 20 | 54 |
| 2023 Diciembre | 28 | 16 | 44 |
| 2023 Noviembre | 35 | 22 | 57 |
| 2023 Octubre | 32 | 16 | 48 |
| 2023 Septiembre | 32 | 18 | 50 |
| 2023 Agosto | 31 | 13 | 44 |
| 2023 Julio | 38 | 19 | 57 |
| 2023 Junio | 48 | 21 | 69 |
| 2023 Mayo | 35 | 17 | 52 |
| 2023 Abril | 30 | 20 | 50 |
| 2023 Marzo | 38 | 35 | 73 |
| 2023 Febrero | 23 | 16 | 39 |
| 2023 Enero | 25 | 26 | 51 |
| 2022 Diciembre | 40 | 30 | 70 |
| 2022 Noviembre | 46 | 45 | 91 |
| 2022 Octubre | 39 | 26 | 65 |
| 2022 Septiembre | 30 | 57 | 87 |
| 2022 Agosto | 39 | 59 | 98 |
| 2022 Julio | 29 | 44 | 73 |
| 2022 Junio | 33 | 42 | 75 |
| 2022 Mayo | 31 | 40 | 71 |
| 2022 Abril | 22 | 34 | 56 |
| 2022 Marzo | 33 | 43 | 76 |
| 2022 Febrero | 26 | 26 | 52 |
| 2022 Enero | 26 | 40 | 66 |
| 2021 Diciembre | 23 | 40 | 63 |
| 2021 Noviembre | 21 | 44 | 65 |
| 2021 Octubre | 28 | 41 | 69 |
| 2021 Septiembre | 20 | 41 | 61 |
| 2021 Agosto | 19 | 19 | 38 |
| 2021 Julio | 21 | 24 | 45 |
| 2021 Junio | 14 | 24 | 38 |
| 2021 Mayo | 17 | 34 | 51 |
| 2021 Abril | 34 | 28 | 62 |
| 2021 Marzo | 36 | 21 | 57 |
| 2021 Febrero | 20 | 14 | 34 |
| 2021 Enero | 17 | 19 | 36 |
| 2020 Diciembre | 18 | 12 | 30 |
| 2020 Noviembre | 13 | 18 | 31 |
| 2020 Octubre | 11 | 13 | 24 |
| 2020 Septiembre | 9 | 8 | 17 |
| 2020 Agosto | 11 | 11 | 22 |
| 2020 Julio | 14 | 14 | 28 |
| 2020 Junio | 14 | 4 | 18 |
| 2020 Mayo | 11 | 9 | 20 |
| 2020 Abril | 17 | 12 | 29 |
| 2020 Marzo | 45 | 5 | 50 |
| 2020 Febrero | 60 | 17 | 77 |
| 2020 Enero | 10 | 11 | 21 |
| 2019 Diciembre | 10 | 12 | 22 |
| 2019 Noviembre | 9 | 7 | 16 |
| 2019 Octubre | 16 | 5 | 21 |
| 2019 Septiembre | 11 | 4 | 15 |
| 2019 Agosto | 12 | 8 | 20 |
| 2019 Julio | 19 | 4 | 23 |
| 2019 Junio | 15 | 5 | 20 |
| 2019 Mayo | 22 | 13 | 35 |
| 2019 Abril | 15 | 6 | 21 |
| 2019 Marzo | 7 | 7 | 14 |
| 2019 Febrero | 10 | 10 | 20 |
| 2019 Enero | 9 | 12 | 21 |
| 2018 Diciembre | 9 | 17 | 26 |
| 2018 Noviembre | 25 | 22 | 47 |
| 2018 Octubre | 41 | 21 | 62 |
| 2018 Septiembre | 25 | 17 | 42 |
| 2018 Agosto | 14 | 13 | 27 |
| 2018 Julio | 26 | 12 | 38 |
| 2018 Junio | 19 | 16 | 35 |
| 2018 Mayo | 23 | 18 | 41 |
| 2018 Abril | 9 | 10 | 19 |
| 2018 Marzo | 24 | 5 | 29 |
| 2018 Febrero | 18 | 7 | 25 |
| 2018 Enero | 20 | 3 | 23 |
| 2017 Diciembre | 9 | 9 | 18 |
| 2017 Noviembre | 17 | 12 | 29 |
| 2017 Octubre | 12 | 16 | 28 |
| 2017 Septiembre | 11 | 8 | 19 |
| 2017 Agosto | 12 | 8 | 20 |
| 2017 Julio | 17 | 11 | 28 |
| 2017 Junio | 24 | 10 | 34 |
| 2017 Mayo | 22 | 9 | 31 |
| 2017 Abril | 26 | 9 | 35 |
| 2017 Marzo | 20 | 4 | 24 |
| 2017 Febrero | 19 | 8 | 27 |
| 2017 Enero | 6 | 4 | 10 |
| 2016 Diciembre | 21 | 5 | 26 |
| 2016 Noviembre | 20 | 10 | 30 |
| 2016 Octubre | 22 | 21 | 43 |
| 2016 Septiembre | 18 | 12 | 30 |
| 2016 Agosto | 37 | 22 | 59 |
| 2016 Julio | 20 | 16 | 36 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 1 | 0 | 1 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Septiembre | 5 | 0 | 5 |
| 2015 Agosto | 3 | 0 | 3 |
| 2015 Julio | 2 | 0 | 2 |
| 2015 Junio | 2 | 0 | 2 |
| 2015 Mayo | 4 | 0 | 4 |
| 2015 Abril | 2 | 0 | 2 |
| 2015 Marzo | 2 | 0 | 2 |
| 2015 Febrero | 1 | 0 | 1 |
| 2015 Enero | 4 | 1 | 5 |
| 2014 Diciembre | 3 | 1 | 4 |
| 2014 Noviembre | 4 | 1 | 5 |
| 2014 Octubre | 4 | 1 | 5 |
| 2014 Septiembre | 2 | 1 | 3 |
| 2014 Agosto | 9 | 1 | 10 |
| 2014 Julio | 9 | 0 | 9 |
| 2014 Junio | 8 | 1 | 9 |
| 2014 Mayo | 3 | 2 | 5 |
| 2014 Abril | 8 | 2 | 10 |
| 2014 Marzo | 6 | 1 | 7 |
| 2014 Febrero | 9 | 1 | 10 |
| 2014 Enero | 11 | 1 | 12 |
| 2013 Diciembre | 14 | 1 | 15 |
| 2013 Noviembre | 19 | 3 | 22 |
| 2013 Octubre | 19 | 1 | 20 |
| 2013 Septiembre | 12 | 6 | 18 |
| 2013 Agosto | 25 | 9 | 34 |
| 2013 Julio | 20 | 2 | 22 |
| 2002 Junio | 942 | 0 | 942 |
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