Trends from 1995 to 2006 in the prevalence of self-reported cardiovascular risk factors among elderly Spanish diabetics

Trujillo, Isabel; García, Rodrigo Jiménez; Pozo, S. Vázquez-Fernández del; Hernández-Barrera, Valentín; Garrido, Pilar Carrasco; Suarez, P Canadas; Miguel, Ángel Gil de

doi:10.1016/j.diabet.2009.06.007

Cited by 7 publications

(11 citation statements)

References 32 publications

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“…The changes in these rates can be attributed to favorable trends in physical activity levels and cigarette smoking and increased use of effective treatments (eg, antihypertensive agents, ACE inhibitors, and lipid-lowering drugs) [9]. We think that the lack in improvement of lifestyles among diabetic patients [16], [17] and the absence of national prevention and treatment program throughout the study period may explain the different behavior in the reduction of hospitalizations for AMI between our data and those reported by Vamos et al [9].…”

Section: Discussionmentioning

confidence: 99%

National Trends over One Decade in Hospitalization for Acute Myocardial Infarction among Spanish Adults with Type 2 Diabetes: Cumulative Incidence, Outcomes and Use of Percutaneous Coronary Intervention

et al. 2014

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BackgroundThis study aims to describe trends in the rate of acute myocardial infarction (AMI) and use of percutaneous coronary interventions (PCI) in patients with and without type 2 diabetes in Spain, 2001–2010.MethodsWe selected all patients with a discharge of AMI using national hospital discharge data. Discharges were grouped by diabetes status: type 2 diabetes and no diabetes. In both groups PCIs were identified. The cumulative incidence of discharges attributed to AMI were calculated overall and stratified by diabetes status and year. We calculated length of stay and in-hospital mortality (IHM). Use of PCI was calculated stratified by diabetes status. Multivariate analysis was adjusted by age, sex, year and comorbidity. Results: From 2001 to 2010, 513,517 discharges with AMI were identified (30.3% with type 2 diabetes). The cumulative incidence of discharges due to AMI in diabetics patients increased (56.3 in 2001 to 71 cases per 100,000 in 2004), then decreased to 61.9 in 2010. Diabetic patients had significantly higher IHM (OR, 1.14; 95%CI, 1.05–1.17). The proportion of diabetic patients that underwent PCI increased from 11.9% in 2001 to 41.6% in 2010. Adjusted incidence of discharge in patients with diabetes who underwent PCI increased significantly (IRR, 3.49; 95%CI, 3.30–3.69). The IHM among diabetics patients who underwent a PCI did not change significantly over time.ConclusionsAMI hospitalization rates increased initially but declining slowly. From 2001 to 2010 the proportion of diabetic patients who undergo a PCI increased almost four-fold. Older age and more comorbidity may explain why IHM did not improve after a PCI.

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Section: Discussionmentioning

confidence: 99%

National Trends over One Decade in Hospitalization for Acute Myocardial Infarction among Spanish Adults with Type 2 Diabetes: Cumulative Incidence, Outcomes and Use of Percutaneous Coronary Intervention

et al. 2014

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“…Still, it represents the result of the screening done by doctors and health professionals and has been used in other studies for the assessment of trends [21,28,29,37]. Further, it has been shown that self-reported data on cardiovascular risk factors is valid and can be used to assess prevalence rates in most cases [38,39].…”

Section: Discussionmentioning

confidence: 99%

Trends in self-reported prevalence and management of hypertension, hypercholesterolemia and diabetes in Swiss adults, 1997-2007

et al. 2011

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BackgroundSwitzerland has a low mortality rate from cardiovascular diseases, but little is known regarding prevalence and management of cardiovascular risk factors (CV RFs: hypertension, hypercholesterolemia and diabetes) in the general population. In this study, we assessed 10-year trends in self-reported prevalence and management of cardiovascular risk factors in Switzerland.Methodsdata from three national health interview surveys conducted between 1997 and 2007 in representative samples of the Swiss adult population (49,261 subjects overall). Self-reported CV RFs prevalence, treatment and control levels were computed. The sample was weighted to match the sex - and age distribution, geographical location and nationality of the entire adult population of Switzerland.Resultsself-reported prevalence of hypertension, hypercholesterolemia and diabetes increased from 22.1%, 11.9% and 3.3% in 1997 to 24.1%, 17.4% and 4.8% in 2007, respectively. Prevalence of self-reported treatment among subjects with CV RFs also increased from 52.1%, 18.5% and 50.0% in 1997 to 60.4%, 38.8% and 53.3% in 2007 for hypertension, hypercholesterolemia and diabetes, respectively. Self-reported control levels increased from 56.4%, 52.9% and 50.0% in 1997 to 80.6%, 75.1% and 53.3% in 2007 for hypertension, hypercholesterolemia and diabetes, respectively. Finally, screening during the last 12 months increased from 84.5%, 86.5% and 87.4% in 1997 to 94.0%, 94.6% and 94.1% in 2007 for hypertension, hypercholesterolemia and diabetes, respectively.Conclusionin Switzerland, the prevalences of self-reported hypertension, hypercholesterolemia and diabetes have increased between 1997 and 2007. Management and screening have improved, but further improvements can still be achieved as over one third of subjects with reported CV RFs are not treated.

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“…It is also noteworthy that almost 10% of the diabetics had BMI over 40 kg/m 2 . This observation suggests that all possible efforts to prevent obesity are needed to cut down the continuing increase in the incidence of diabetes [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Appropriate Cardiovascular Prevention is Not Implemented in Diabetic Hypertensive Patients Treated in General Practice

Varis¹

2011

TOHYPERJ

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Introduction of guidelines and more effective cardiovascular prevention have taken place in Finland. This study clarified whether treatment of the Finnish diabetics reflects these changes. Antihypertensive, lipemic and diabetic care of diabetics in Finnish general practice was analyzed nationwide by using a questionnaire. Subjects that participated in the study were consecutive hypertensive patients that had met their general practitioners during a given week in 2006. Only 9.4 % of the diabetics reached the blood pressure target below 130/80 mmHg. Fifty-six % of the patients reached the target of glycocylated haemoglobin (GHbA1c) below 7.0 %. The low density lipoprotein (LDL) cholesterol was below 2.5 mmol/l (96.7 mg/dl) in 43.9 % of the patients. In multivariate model, young age and high GHbA1c associated with high diastolic blood pressure. Fewer patients with GHbA1c > 7 % reached the target pressure below 140/90 mmHg than those with GHbA1c ≤7.0 % (p<0.05), but no difference was found if the target was below 130/80 mmHg. Neither the number of antihypertensive agents nor home blood pressure monitoring did affect the blood pressure. Blood pressure control of the treated Finnish diabetics was poor. Metabolic targets were more commonly reached than the blood pressure target but still too seldom. The cardiovascular prevention is not implemented in Finnish diabetic patients treated in general practice.

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Trends from 1995 to 2006 in the prevalence of self-reported cardiovascular risk factors among elderly Spanish diabetics

Cited by 7 publications

References 32 publications

National Trends over One Decade in Hospitalization for Acute Myocardial Infarction among Spanish Adults with Type 2 Diabetes: Cumulative Incidence, Outcomes and Use of Percutaneous Coronary Intervention

National Trends over One Decade in Hospitalization for Acute Myocardial Infarction among Spanish Adults with Type 2 Diabetes: Cumulative Incidence, Outcomes and Use of Percutaneous Coronary Intervention

Trends in self-reported prevalence and management of hypertension, hypercholesterolemia and diabetes in Swiss adults, 1997-2007

Appropriate Cardiovascular Prevention is Not Implemented in Diabetic Hypertensive Patients Treated in General Practice

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