Atherosclerosis in the primary health care setting: a real-word data study

Raquel Ascenção; Joana Alarcão; Francisco Araújo; João Costa; Francesca Fiorentino; Victor Gil; Miguel Gouveia; Francisco Lourenço; Alberto Mello e Silva; António Vaz Carneiro; Margarida Borges

doi:10.1016/j.repc.2021.03.018

Atherosclerosis in the primary health care setting: a real-word data study

Título traduzido da contribuição: A aterosclerose nos cuidados de saúde primários: estudo da vida real

Raquel Ascenção^*
, Joana Alarcão
, Francisco Araújo
, João Costa
, Francesca Fiorentino
, Victor Gil
, Miguel Gouveia
, Francisco Lourenço
, Alberto Mello e Silva
, António Vaz Carneiro
, Margarida Borges

^*Autor correspondente para este trabalho

Resultado de pesquisa › revisão de pares

39 Transferências (Pure)

Resumo

Introdução e objetivos: caracterizar os doentes com aterosclerose, uma doença com elevado impacto socioeconómico, na Região de Saúde de Lisboa e Vale do Tejo. Métodos: Estudo observacional transversal, recorrendo ao Sistema de Informação desta Administração Regional de Saúde, com extração de dados clínico-demográficos e de consumo de recursos dos utilizadores adultos com aterosclerose em 2016. A aterosclerose foi definida pela presença de manifestações clínicas, fatores de risco aterotrombóticos e/ou consumo de medicamentos marcadores de aterosclerose. Foram comparados os resultados para a população com e sem manifestações clínicas (testes paramétricos).
Resultados: Identificámos 318 692 utilizadores, a maioria (n=224 845 doentes; 71%) sem registo de manifestações clínicas. A subpopulação com manifestações clínicas era mais idosa (72,0±11,5 versus 71,3±11,0 anos), com maior proporção de homens (58,0% versus 45,9%), registo de hipertensão arterial (78,3% versus 73,5%), dislipidemia (55,8% versus 53,5%) e menor proporção de registo de obesidade (18,2% versus 20,8%), em comparação com a população sem manifestações clínicas (p<0,001). Os valores médios de pressão arterial sistólica/diastólica, C-C-LDL e hemoglobina glicada foram inferiores na subpopulação com manifestações (142/74 versus 146/76 mmHg, 101 versus 108 mg/dL, 6,80 versus 6,84%, respetivamente; p<0,001). Cada utilizador com aterosclerose realizou 4,1±2,9 consultas médicas presenciais e 8,6±10,0 painéis de análises clínicas, com diferenças nas subpopulações com e sem manifestações clínicas (4,4 ± 3,2 versus 4,0 ± 2,8 e 8,3 ± 10,3 versus 8,7±9,8, respetivamente; p<0,001). Conclusões: Cerca de um em cada três utilizadores adultos de cuidados de saúde primários com aterosclerose têm manifestações clínicas. Os resultados sugerem que o controlo dos factores de risco cardiovascular é sub-óptimo em doentes com aterosclerose.

Título traduzido da contribuição	A aterosclerose nos cuidados de saúde primários: estudo da vida real
Idioma original	English
Páginas (de-até)	475-484
Número de páginas	10
Revista	Revista Portuguesa de Cardiologia
Volume	41
Número de emissão	6
DOIs	https://doi.org/10.1016/j.repc.2021.03.018
Estado da publicação	Publicado - jun. 2022

ODS da ONU

Este resultado contribui para o(s) seguinte(s) Objetivo(s) de Desenvolvimento Sustentável

ODS 3 Boa saúde e bem-estar

Keywords

Aterosclerose
Cuidados de saúde primários
Portugal

Acesso ao documento

10.1016/j.repc.2021.03.018Licença:

43137555Final published version, 912 KBLicença:

http://hdl.handle.net/10400.14/37376Licença:

Outros arquivos e links

Link to publication in Scopus

CUBE: Católica Lisbon Research Unit in Business and Economics
Machado, F. (PI), Aranda, A. M. (Investigador), Costa, A. I. D. A. (Investigador), Martins, A. P. (Investigador), Bernard, A. (Investigador), Fidalgo, A. (Investigador), Reis, C. (Investigador), Abecassis-Moedas, C. (Investigador), Santos, C. (Investigador), Tran, D. (Investigador), Fernandes, D. (Investigador), Bonfim, D. (Investigador), Schliephake, E. (Investigador), Kalogirou, F. (Investigador), Reis, F. (Investigador), Santos, F. (Investigador), Machado, F. (Investigador), Sguera, F. (Investigador), Cerqueiro, G. (Investigador), Reis, H. (Investigador), Barreto, I. (Investigador), Silva, J. (Investigador), Salvado, J. C. (Investigador), Neves, J. C. D. (Investigador), Gijsbrechts, J. (Investigador), Stahl, J. (Investigador), Guedes, J. C. (Investigador), Faias, J. (Investigador), Wagner, L. (Investigador), Correia, I. (Investigador), Saldanha, M. F. (Investigador), Fontes, J. C. (Investigador), Modesto, L. (Investigador), Meira, M. (Investigador), Matos, M. G. D. (Investigador), Gouveia, M. (Investigador), Kozeniauskas, N. (Investigador), Bertani, N. (Investigador), Couzoff, P. (Investigador), Barroso, P. (Investigador), Encarnação, P. (Investigador), Raposo, P. (Investigador), Teles, P. (Investigador), Bastos, W. (Investigador), Bohnsack, R. (Investigador), Vale, R. C. D. (Investigador), Ferreira, R. (Investigador), Lloyd-Braga, T. (Investigador), Ramus, T. (Investigador), Colaço, V. H. (Investigador), Cavicchini, A. (Investigador), Parada, P. (Investigador), Pieters, R. (Investigador), Pinto, F. S. (Investigador), Colaço, V. H. (Investigador) & Venter, Z. (Investigador)
1/01/20 → 31/12/25
Projeto

Citação

@article{c0ab2fe989cc4b6986fd921ed734570b,

title = "Atherosclerosis in the primary health care setting: a real-word data study",

abstract = "Introduction and Objectives: To characterize patients with atherosclerosis, a disease with a high socioeconomic impact, in the Lisbon and Tagus Valley Health Region. Methods: A cross-sectional observational study was carried out through the Lisbon and Tagus Valley Regional Health Administration primary health care database, extracting data on the clinical and demographic characteristics and resource use of adult primary health care users with atherosclerosis during 2016. Different criteria were used to define atherosclerosis (presence of clinical manifestations, atherothrombotic risk factors and/or consumption of drugs related to atherosclerosis). Comparisons between different subpopulations were performed using parametric tests. Results: A total of 318 692 users were identified, most of whom (n=224 845 users; 71\%) had no recorded clinical manifestations. The subpopulation with clinical manifestations were older (72.0±11.5 vs. 71.3±11.0 years), with a higher proportion of men (58.0\% vs. 45.9\%), recorded hypertension (78.3\% vs. 73.5\%) and dyslipidemia (55.8\% vs. 53.5\%), and a lower proportion of recorded obesity (18.2\% vs. 20.8\%), compared to those without clinical manifestations (p<0.001). Mean blood pressure, LDL-C and glycated hemoglobin values were lower in the subpopulation with manifestations (142/74 vs. 146/76 mmHg, 101 vs. 108 mg/dl, and 6.80 vs. 6.84\%, respectively; p<0.001). Each user with atherosclerosis attended 4.1±2.9 face-to-face medical consultations and underwent 8.6±10.0 laboratory test panels, with differences in subpopulations with and without clinical manifestations (4.4±3.2 vs. 4.0±2.8 and 8.3±10.3 vs. 8.7±9.8, respectively; p<0.001). Conclusions: About one in three adult primary health care users with atherosclerosis have clinical manifestations. The results suggest that control of cardiovascular risk factors is suboptimal in patients with atherosclerosis.",

keywords = "Aterosclerose, Cuidados de sa{\'u}de prim{\'a}rios, Portugal, Atherosclerosis, Primary health care, Portugal",

author = "Raquel Ascen{\c c}{\~a}o and Joana Alarc{\~a}o and Francisco Ara{\'u}jo and Jo{\~a}o Costa and Francesca Fiorentino and Victor Gil and Miguel Gouveia and Francisco Louren{\c c}o and \{Mello e Silva\}, Alberto and \{Vaz Carneiro\}, Ant{\'o}nio and Margarida Borges",

note = "Funding Information: This study was funded by an unrestricted grant from Bayer Portugal, SA . The funding was not conditional on the nature of the results, which are entirely the responsibility of the authors. Publisher Copyright: {\textcopyright} 2022 Sociedade Portuguesa de Cardiologia",

year = "2022",

month = jun,

doi = "10.1016/j.repc.2021.03.018",

language = "English",

volume = "41",

pages = "475--484",

journal = "Revista Portuguesa de Cardiologia",

issn = "0870-2551",

publisher = "Sociedade Portuguesa De Cardiologia",

number = "6",

}

TY - JOUR

T1 - Atherosclerosis in the primary health care setting

T2 - a real-word data study

AU - Ascenção, Raquel

AU - Alarcão, Joana

AU - Araújo, Francisco

AU - Costa, João

AU - Fiorentino, Francesca

AU - Gil, Victor

AU - Gouveia, Miguel

AU - Lourenço, Francisco

AU - Mello e Silva, Alberto

AU - Vaz Carneiro, António

AU - Borges, Margarida

N1 - Funding Information: This study was funded by an unrestricted grant from Bayer Portugal, SA . The funding was not conditional on the nature of the results, which are entirely the responsibility of the authors. Publisher Copyright: © 2022 Sociedade Portuguesa de Cardiologia

PY - 2022/6

Y1 - 2022/6

N2 - Introduction and Objectives: To characterize patients with atherosclerosis, a disease with a high socioeconomic impact, in the Lisbon and Tagus Valley Health Region. Methods: A cross-sectional observational study was carried out through the Lisbon and Tagus Valley Regional Health Administration primary health care database, extracting data on the clinical and demographic characteristics and resource use of adult primary health care users with atherosclerosis during 2016. Different criteria were used to define atherosclerosis (presence of clinical manifestations, atherothrombotic risk factors and/or consumption of drugs related to atherosclerosis). Comparisons between different subpopulations were performed using parametric tests. Results: A total of 318 692 users were identified, most of whom (n=224 845 users; 71%) had no recorded clinical manifestations. The subpopulation with clinical manifestations were older (72.0±11.5 vs. 71.3±11.0 years), with a higher proportion of men (58.0% vs. 45.9%), recorded hypertension (78.3% vs. 73.5%) and dyslipidemia (55.8% vs. 53.5%), and a lower proportion of recorded obesity (18.2% vs. 20.8%), compared to those without clinical manifestations (p<0.001). Mean blood pressure, LDL-C and glycated hemoglobin values were lower in the subpopulation with manifestations (142/74 vs. 146/76 mmHg, 101 vs. 108 mg/dl, and 6.80 vs. 6.84%, respectively; p<0.001). Each user with atherosclerosis attended 4.1±2.9 face-to-face medical consultations and underwent 8.6±10.0 laboratory test panels, with differences in subpopulations with and without clinical manifestations (4.4±3.2 vs. 4.0±2.8 and 8.3±10.3 vs. 8.7±9.8, respectively; p<0.001). Conclusions: About one in three adult primary health care users with atherosclerosis have clinical manifestations. The results suggest that control of cardiovascular risk factors is suboptimal in patients with atherosclerosis.

AB - Introduction and Objectives: To characterize patients with atherosclerosis, a disease with a high socioeconomic impact, in the Lisbon and Tagus Valley Health Region. Methods: A cross-sectional observational study was carried out through the Lisbon and Tagus Valley Regional Health Administration primary health care database, extracting data on the clinical and demographic characteristics and resource use of adult primary health care users with atherosclerosis during 2016. Different criteria were used to define atherosclerosis (presence of clinical manifestations, atherothrombotic risk factors and/or consumption of drugs related to atherosclerosis). Comparisons between different subpopulations were performed using parametric tests. Results: A total of 318 692 users were identified, most of whom (n=224 845 users; 71%) had no recorded clinical manifestations. The subpopulation with clinical manifestations were older (72.0±11.5 vs. 71.3±11.0 years), with a higher proportion of men (58.0% vs. 45.9%), recorded hypertension (78.3% vs. 73.5%) and dyslipidemia (55.8% vs. 53.5%), and a lower proportion of recorded obesity (18.2% vs. 20.8%), compared to those without clinical manifestations (p<0.001). Mean blood pressure, LDL-C and glycated hemoglobin values were lower in the subpopulation with manifestations (142/74 vs. 146/76 mmHg, 101 vs. 108 mg/dl, and 6.80 vs. 6.84%, respectively; p<0.001). Each user with atherosclerosis attended 4.1±2.9 face-to-face medical consultations and underwent 8.6±10.0 laboratory test panels, with differences in subpopulations with and without clinical manifestations (4.4±3.2 vs. 4.0±2.8 and 8.3±10.3 vs. 8.7±9.8, respectively; p<0.001). Conclusions: About one in three adult primary health care users with atherosclerosis have clinical manifestations. The results suggest that control of cardiovascular risk factors is suboptimal in patients with atherosclerosis.

KW - Aterosclerose

KW - Cuidados de saúde primários

KW - Portugal

KW - Atherosclerosis

KW - Primary health care

KW - Portugal

UR - https://www.scopus.com/pages/publications/85128143141

U2 - 10.1016/j.repc.2021.03.018

DO - 10.1016/j.repc.2021.03.018

M3 - Article

C2 - 36062690

AN - SCOPUS:85128143141

SN - 0870-2551

VL - 41

SP - 475

EP - 484

JO - Revista Portuguesa de Cardiologia

JF - Revista Portuguesa de Cardiologia

IS - 6

ER -

Atherosclerosis in the primary health care setting: a real-word data study

Resumo

ODS da ONU

Keywords

Acesso ao documento

Outros arquivos e links

Impressão digital

Projetos

CUBE: Católica Lisbon Research Unit in Business and Economics

Citação