Abstract

BONET PLA, A. et al. Cardiovascular risk factors control in diabetic patients visited in two Primary Health Care teams and associated direct costs. Part I: Cardiovascular risk assessment. Medifam [online]. 2002, vol.12, n.8, pp.41-48. ISSN 1131-5768.

Background: diabetes mellitus type 2 (DM2) intensive control diminishes the aparition of long term complications. At present well controled patients percentage is low in acordance with the European Consensus of 1998. As the cardiovascular risk in diabetic patients is very high considering all the cardiovascular risk factors (CVRF) is the best strategy. Aim: to ascertain the CVRF control of patients visited in two Health Centers from Valencia and the factors that could influence this control. Design: cross sectional study in two health centers from Valencia (Spain). Material and methods: patients diagnosed of DM2 visited in both centers. Aged 35 to 75 years. Sample size 260 diabetics for centre. Results: considering HbA1C, 38.4% patients (IC95 34.2-42.9%) had low risk, 22.8% (IC95%: 19.3-26.7%) arterial risk and 38.8% (IC95%: 26.7-38%) microvascular risk. Only 1% had low risk when all the CVRF are considered althogether (lipids, HbA_1C y blood pressure). Statistical differences were observed for: centre, treatment type and isulin treatment, age, medical visits and years of diabetic evolution. Conclusion: percentage of patient with well control of the whole CVRF is low cardiovascular, although separate control of some of them is quite good. Our study points out the need of taking into account all the CVRF.

Keywords : Diabetes; Cardiovascular risk factors; Outcome assessment.