Factores asociados al riesgo cardiovascular y enfermedad cardiovascular y renal en el estudio IBERICAN (Identificación de la poBlación Española de RIesgo CArdiovascular y reNal)resultados definitivos

  1. S. Cinza-Sanjurjo 1
  2. R.M. Micó-Pérez 2
  3. S. Velilla-Zancada 3
  4. M.A. Prieto-Díaz 4
  5. G.C. Rodríguez-Roca 5
  6. A. Barquilla García 6
  7. J. Polo García 7
  8. V. Martín Sánchez 8
  9. J.L. Llisterri Caro 9
  1. 1 Centro de Salud de Porto do Son, AS Santiago de Compostela, Porto do Son, A Coruña, España
  2. 2 Centro de Salud de Fontanars dels Alforins, EAP Ontinyent, Fontanars dels Alforins, Valencia, España
  3. 3 Centro de Salud Joaquín Elizalde, Logroño, España
  4. 4 Centro de Salud Vallobín-La Florida, Oviedo, España
  5. 5 Centro de Salud de Puebla de Montalbán, La Puebla de Montalbán, Toledo, España
  6. 6 Centro de Salud de Trujillo, Trujillo, Cáceres, España
  7. 7 Centro de Salud Casar de Cáceres, Casar de Cáceres, Cáceres, España
  8. 8 Instituto de Biomedicina (IBIOMED), Universidad de León, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), León, España
  9. 9 Fundación Sociedad Española de Médicos de Atención Primaria, Semergen, Madrid, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2020

Issue: 6

Pages: 368-378

Type: Article

DOI: 10.1016/J.SEMERG.2020.06.027 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Abstract

Objective To analyse the prevalence in clinical practice of cardiovascular risk factors (CVRF) and cardiovascular disease (CVD), as well as their causal relationship, in the study inclusion visit. Material and methods Cross-sectional analysis of the study inclusion visit of 8,066 patients of 18 to 85 years of age included in the IBERICAN study. By reviewing the medical history, analytics and medical visits, the patient's physician has collected socio-demographic information, personal and family history and prevalence of CVRF and CVD and renal disease. A multivariate analysis was carried out using a logistic regression that included the autonomous region variable as a random effect variable, in order to analyse the impact of certain variables on the development of each CVRF, metabolic syndrome, subclinical organ damage, renal disease, and CVD. Results Dyslipidaemia was 2.4 times more frequent in diabetics, and the risk was increased by 59% in hypertensive patients. Arterial hypertension was twice as frequent in diabetics, and increased 94% in hyperuricaemic patients and 62.1% in dyslipidaemia patients. Diabetes mellitus was 2.5 times higher in dyslipidaemia patients, and 2.2 times higher in hypertensive patients. CVD was four times more frequent in patients with a family history, and the risk in women was increased by 90.8% and by 53.8% in patients with renal disease. Conclusions The Spanish population seen in Primary Care that were analysed in the IBERICAN study had a high prevalence of CVRF and CVD, which gives it a high CVR. The multivariate analysis performed shows a close causal relationship between the CVRF with each other, and with renal disease and CVD.

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Funding information

A la Fundaci?n SEMERGEN por la financiaci?n del estudio, a los investigadores que han participado activamente en el reclutamiento de los pacientes y a los pacientes por su participaci?n.

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