Framingham risk score among diabetic patients in the family health strategy

Detalhes bibliográficos
Autor(a) principal: Fonseca, Álvaro Luís Müller
Data de Publicação: 2021
Outros Autores: Brito, Rosana Andrade, Carvalho, Ana Isabel Cezário Conceição de, Amorim, Ana Luísa Macedo de, Reis, Beatriz Pinto Andrade, Letti, Ariel Gustavo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3455
Resumo: Most individuals with diabetes mellitus also present obesity, hypertension and dyslipidemia. Hence, the Framingham Risk Stratification (ERF) is recommended to identify the risk of developing cardiovascular diseases (CVD) in 10 years. This study analyzes the prevalence of diabetes mellitus to determine cardiovascular risk using the ERF in the Family Health Strategy, aiming at comprehensive care for CVD prevention. Cross-sectional research was conducted with 746 patients divided into 150 diabetic individuals (only four with type 1) and 596 non-diabetic individuals, identified from 3,325 medical records. Of the total, 57.9% (n = 432) were low-risk individuals (ERF < 10%), 24.7% (n = 185) medium risk (ERF 10-20%), and 17.2% (n = 129) high risk (ERF > 20%). Among diabetics, 23.3% (n = 35/150) were at low risk, 36.6% (n = 55/150) at medium risk, and 40% (n = 60/150) at high risk. The groups are significantly different regarding ERF (P < 0.0001), and when comparing risk subgroups (low, medium, high) and blood glucose rates (P < 0.0001). The prevalence of medium and high risk increases from 48 years of age. Women prevails at all risk levels and age groups. Diabetics have a 2.5 times higher cardiovascular risk, presenting an increased impact if concomitant with hypertension, smoking, obesity, sedentary lifestyle, and alcoholism. The panorama of cardiovascular risk determined by the ERF is relevant for clinical use by primary care staff when treating diabetic patients.
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spelling Framingham risk score among diabetic patients in the family health strategyPuntuación de riesgo de Framingham en pacientes diabéticos de la estrategia de salud familiarEscore de risco de Framingham em pacientes diabéticos da estratégia de saúde da famíliaDiabetes mellitusAtenção primáriaDoenças cardiovascularesEscore de Risco de FraminghamDiabetes e doenças cardiovascularesDiabetes mellitusAtención Primaria de SaludEnfermedades CardiovascularesPuntuación de Riesgo de FraminghamDiabetes y enfermedades cardiovascularesDiabetes MellitusPrimary Health CareCardiovascular DiseasesFramingham Risk ScoreDiabetes and cardiovascular diseasesMost individuals with diabetes mellitus also present obesity, hypertension and dyslipidemia. Hence, the Framingham Risk Stratification (ERF) is recommended to identify the risk of developing cardiovascular diseases (CVD) in 10 years. This study analyzes the prevalence of diabetes mellitus to determine cardiovascular risk using the ERF in the Family Health Strategy, aiming at comprehensive care for CVD prevention. Cross-sectional research was conducted with 746 patients divided into 150 diabetic individuals (only four with type 1) and 596 non-diabetic individuals, identified from 3,325 medical records. Of the total, 57.9% (n = 432) were low-risk individuals (ERF < 10%), 24.7% (n = 185) medium risk (ERF 10-20%), and 17.2% (n = 129) high risk (ERF > 20%). Among diabetics, 23.3% (n = 35/150) were at low risk, 36.6% (n = 55/150) at medium risk, and 40% (n = 60/150) at high risk. The groups are significantly different regarding ERF (P < 0.0001), and when comparing risk subgroups (low, medium, high) and blood glucose rates (P < 0.0001). The prevalence of medium and high risk increases from 48 years of age. Women prevails at all risk levels and age groups. Diabetics have a 2.5 times higher cardiovascular risk, presenting an increased impact if concomitant with hypertension, smoking, obesity, sedentary lifestyle, and alcoholism. The panorama of cardiovascular risk determined by the ERF is relevant for clinical use by primary care staff when treating diabetic patients.La mayoría de las personas que padecen diabetes mellitus también tiene obesidad, hipertensión arterial sistémica (HAS) y dislipidemia. Por este motivo, se recomienda la Estratificación de Riesgo de Framingham (ERF) para identificar el riesgo de desarrollar enfermedades cardiovasculares (ECV) en 10 años. Este estudio busca analizar la prevalencia de la diabetes mellitus para determinar el riesgo cardiovascular utilizando la ERF en la Estrategia de Salud Familiar, con el objetivo de proporcionar una atención integral para la prevención de las ECV. Este es un estudio de corte transversal con una población (n = 746) dividida en 150 individuos diabéticos (solo 4 de tipo 1) y 596 individuos no diabéticos desde 3.325 historias clínicas. Se identificaron un 57,9% (n = 432) de individuos de bajo riesgo (ERF <10%); el 24,7% (n = 185) de riesgo medio (ERF 10-20%) y el 17,2% (n = 129) de alto riesgo (ERF > 20%). Los diabéticos de bajo riesgo constituyen el 23,3% (n = 35/150); con riesgo medio el 36,6% (n = 55/150) y con riesgo alto el 40% (n = 60/150). Los grupos son significativamente diferentes entre sí con respecto a la ERF (P < 0,0001) al comparar subgrupos de riesgo (bajo, medio, alto) y las tasas de glucosa en sangre (P < 0,0001). La prevalencia de riesgo medio y alto aumenta a partir de los 48 años; el género femenino predomina en todos los niveles de riesgo y grupos de edad. El riesgo cardiovascular para los diabéticos es 2,5 veces mayor; hay un mayor impacto si es concomitante con hipertensión, tabaquismo, obesidad, inactividad física y alcoholismo. El panorama de riesgo cardiovascular, determinado por la ERF, es relevante para el uso clínico por parte del equipo básico de salud cuando se trata de pacientes diabéticos.A maioria dos indivíduos com diabetes mellitus também apresenta obesidade, hipertensão arterial sistêmica (HAS) e dislipidemia. Por esse motivo, preconiza-se a Estratificação de Risco de Framingham (ERF), de modo a identificar o risco de desenvolvimento de doenças cardiovasculares (DCV) em dez anos. Este estudo analisa a prevalência de diabetes mellitus para determinar o risco cardiovascular pelo ERF na Estratégia de Saúde da Família (ESF), visando um cuidado integral para a prevenção de DCV. Trata-se de uma pesquisa de corte transversal com população (n = 746) dividida em 150 indivíduos diabéticos (apenas quatro do tipo 1) e 596 não diabéticos a partir de 3.325 prontuários. Foi identificado 57,9% (n = 432) de indivíduos com baixo risco (ERF < 10%); 24,7% (n = 185) em médio risco (ERF 10-20%), e 17,2% (n = 129) em alto risco (ERF > 20%). Os diabéticos de baixo risco representam 23,3% (n = 35/150); 36,6% (n = 55/150) com médio risco e 40% (n = 60/150) com alto risco. Os grupos são significativamente distintos entre si quanto ao ERF (P < 0, 0001) ao comparar os subgrupos de risco (baixo, médio, alto), assim como as taxas de glicemia (P < 0,0001). A prevalência de médio e alto risco aumenta a partir dos 48 anos de idade; o sexo feminino prevalece em todos os níveis de risco e faixas etárias. O risco cardiovascular para diabéticos é 2,5 vezes maior; há impacto aumentado se concomitante com hipertensão, tabagismo, obesidade, sedentarismo e etilismo. O panorama do risco cardiovascular, determinado pelo ERF, é relevante para o uso clínico pela equipe de saúde básica ao lidar com pacientes diabéticos.SESAB2021-12-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/345510.22278/2318-2660.2021.v45.n3.a3455Revista Baiana de Saúde Pública; v. 45 n. 3 (2021); 129-1442318-26600100-023310.22278/2318-2660.2021.v45.N3reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3455/3039Copyright (c) 2021 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessFonseca, Álvaro Luís MüllerBrito, Rosana AndradeCarvalho, Ana Isabel Cezário Conceição deAmorim, Ana Luísa Macedo deReis, Beatriz Pinto AndradeLetti, Ariel Gustavo2023-02-15T19:34:21Zoai:ojs.pkp.sfu.ca:article/3455Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:17.976233Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Framingham risk score among diabetic patients in the family health strategy
Puntuación de riesgo de Framingham en pacientes diabéticos de la estrategia de salud familiar
Escore de risco de Framingham em pacientes diabéticos da estratégia de saúde da família
title Framingham risk score among diabetic patients in the family health strategy
spellingShingle Framingham risk score among diabetic patients in the family health strategy
Fonseca, Álvaro Luís Müller
Diabetes mellitus
Atenção primária
Doenças cardiovasculares
Escore de Risco de Framingham
Diabetes e doenças cardiovasculares
Diabetes mellitus
Atención Primaria de Salud
Enfermedades Cardiovasculares
Puntuación de Riesgo de Framingham
Diabetes y enfermedades cardiovasculares
Diabetes Mellitus
Primary Health Care
Cardiovascular Diseases
Framingham Risk Score
Diabetes and cardiovascular diseases
title_short Framingham risk score among diabetic patients in the family health strategy
title_full Framingham risk score among diabetic patients in the family health strategy
title_fullStr Framingham risk score among diabetic patients in the family health strategy
title_full_unstemmed Framingham risk score among diabetic patients in the family health strategy
title_sort Framingham risk score among diabetic patients in the family health strategy
author Fonseca, Álvaro Luís Müller
author_facet Fonseca, Álvaro Luís Müller
Brito, Rosana Andrade
Carvalho, Ana Isabel Cezário Conceição de
Amorim, Ana Luísa Macedo de
Reis, Beatriz Pinto Andrade
Letti, Ariel Gustavo
author_role author
author2 Brito, Rosana Andrade
Carvalho, Ana Isabel Cezário Conceição de
Amorim, Ana Luísa Macedo de
Reis, Beatriz Pinto Andrade
Letti, Ariel Gustavo
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Fonseca, Álvaro Luís Müller
Brito, Rosana Andrade
Carvalho, Ana Isabel Cezário Conceição de
Amorim, Ana Luísa Macedo de
Reis, Beatriz Pinto Andrade
Letti, Ariel Gustavo
dc.subject.por.fl_str_mv Diabetes mellitus
Atenção primária
Doenças cardiovasculares
Escore de Risco de Framingham
Diabetes e doenças cardiovasculares
Diabetes mellitus
Atención Primaria de Salud
Enfermedades Cardiovasculares
Puntuación de Riesgo de Framingham
Diabetes y enfermedades cardiovasculares
Diabetes Mellitus
Primary Health Care
Cardiovascular Diseases
Framingham Risk Score
Diabetes and cardiovascular diseases
topic Diabetes mellitus
Atenção primária
Doenças cardiovasculares
Escore de Risco de Framingham
Diabetes e doenças cardiovasculares
Diabetes mellitus
Atención Primaria de Salud
Enfermedades Cardiovasculares
Puntuación de Riesgo de Framingham
Diabetes y enfermedades cardiovasculares
Diabetes Mellitus
Primary Health Care
Cardiovascular Diseases
Framingham Risk Score
Diabetes and cardiovascular diseases
description Most individuals with diabetes mellitus also present obesity, hypertension and dyslipidemia. Hence, the Framingham Risk Stratification (ERF) is recommended to identify the risk of developing cardiovascular diseases (CVD) in 10 years. This study analyzes the prevalence of diabetes mellitus to determine cardiovascular risk using the ERF in the Family Health Strategy, aiming at comprehensive care for CVD prevention. Cross-sectional research was conducted with 746 patients divided into 150 diabetic individuals (only four with type 1) and 596 non-diabetic individuals, identified from 3,325 medical records. Of the total, 57.9% (n = 432) were low-risk individuals (ERF < 10%), 24.7% (n = 185) medium risk (ERF 10-20%), and 17.2% (n = 129) high risk (ERF > 20%). Among diabetics, 23.3% (n = 35/150) were at low risk, 36.6% (n = 55/150) at medium risk, and 40% (n = 60/150) at high risk. The groups are significantly different regarding ERF (P < 0.0001), and when comparing risk subgroups (low, medium, high) and blood glucose rates (P < 0.0001). The prevalence of medium and high risk increases from 48 years of age. Women prevails at all risk levels and age groups. Diabetics have a 2.5 times higher cardiovascular risk, presenting an increased impact if concomitant with hypertension, smoking, obesity, sedentary lifestyle, and alcoholism. The panorama of cardiovascular risk determined by the ERF is relevant for clinical use by primary care staff when treating diabetic patients.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3455
10.22278/2318-2660.2021.v45.n3.a3455
url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3455
identifier_str_mv 10.22278/2318-2660.2021.v45.n3.a3455
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3455/3039
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 45 n. 3 (2021); 129-144
2318-2660
0100-0233
10.22278/2318-2660.2021.v45.N3
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
instacron:IBICT
instname_str Secretaria da Saúde do Estado da Bahia (Sesab)
instacron_str IBICT
institution IBICT
reponame_str Revista Baiana de Saúde Pública (Online)
collection Revista Baiana de Saúde Pública (Online)
repository.name.fl_str_mv Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)
repository.mail.fl_str_mv ||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br
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