[Achievement of cardiovascular goals in patients diagnosed with type 2 diabetes with and without cardiovascular disease].
OBJECTIVE
To determine the proportion of patients with type 2 diabetes with and without cardiovascular disease achieving the main cardiovascular goals.


METHODS



METHODS
Cross-sectional study.


METHODS
A regional health district in a European country, Spain. Year: 2013.


METHODS
Adult patients diagnosed with type 2 diabetes with and without cardiovascular disease.


METHODS
Study using secondary data obtained from electronic records of clinical history. Haemoglobin A1c, blood pressure, LDL cholesterol, smoking and medication were covered. n=49,658 RESULTS: The proportion of patients with diabetes achieving cardiovascular goals (among those with recent measurement) was: haemoglobin A1c 68.8% (CI95%:68.2%-69.4%), blood pressure 74.3% (CI95%:73.9%-74.7%), LDL cholesterol 59.8% (CI95%:59.0%-60.6%), tobacco 80.2% (CI95%:79.6%-80.8%). Only 40%-67% of patients has recent measurement. Only 48.0% (CI95%: 46.6%-49.4%) of patients who needed statins were receiving them. Higher proportion of patients with cardiovascular disease were achiving goals. Differences were small but significant.


CONCLUSIONS
Cardiovascular goals were measured in around half of patients with diabetes. Proportion of patients achiving cardiovascular goals were similar to published and best in patients with cardiovascular disease but it could improve. This points to prioritising interventions in this group of patients at very high risk, improving the implementation of guidelines and patient adherence.
Área de Atención Primaria, Servicio Madrileño de Salud, Madrid, España. Electronic address: ggarzon.gapm01@salud.madrid.org.
Gerardo
G
Garzón
Departamento de Medicina Preventiva y Salud Pública, Universidad Rey Juan Carlos, Madrid, España.
Ángel
Á
Gil
Área de Atención Primaria, Servicio Madrileño de Salud, Madrid, España.
Ana María
AM
Herrero
Área de Atención Primaria, Servicio Madrileño de Salud, Madrid, España.
Fernando
F
Jiménez
Área de Atención Primaria, Servicio Madrileño de Salud, Madrid, España.
María José
MJ
Cerezo
Servicio de Urgencias, Hospital de la Princesa, Servicio Madrileño de Salud, Madrid, España.
Cristina
C
Domínguez
D000293:Adolescent; D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000097:blood / Q000150:complications* / Q000628:therapy; D008078:Cholesterol, LDL / Q000097:blood; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D004363:Drug Utilization; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006040:Goals; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use; D006973:Hypertension / Q000150:complications; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000453:epidemiology; D055815:Young Adult
D008078:Cholesterol, LDL; D006442:Glycated Hemoglobin; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D007004:Hypoglycemic Agents
Cardiovascular disease; Diabetes mellitus; Enfermedad cardiovascular; Factores de riesgo; Risk factors