Cardiovascular risk in patients admitted to a Diabetic Care Center
Abstract
Introduction: Diabetes mellitus is a major health problem worldwide. The cardiovascular risk in diabetic patients is similar to that observed in non-diabetics who have suffered myocardial infarction.
Objective: To evaluate the cardiovascular risk in patients admitted to the Diabetic Care Center of Pinar del Río.
Methods: A cross-sectional descriptive observational study was carried out in patients admitted to the Diabetic Care Center belonging to the Abel Santamaría Cuadrado General Teaching Hospital in Pinar del Río province, in the period from January 1st, 2019 to December 31st, 2020. The universe of study was made up of 689 patients diagnosed with diabetes mellitus and the sample was 527, selected through simple random probabilistic sampling, with an expected frequency of 50 %, confidence limit 5 % and confidence level 95 %. For the analysis of the information, the statistical system, Statistical Package for Social Sciences, was applied, univariate analysis of a descriptive nature was applied, and descriptive statistics were used, such as the distribution of absolute and relative frequencies. The non-parametric Chi square test was used for qualitative data with a significance level of 95 % (p
Results: The female sex (53.89 %), age group 60 to 69 years of age (31.31 %) and white-skinned patients (75.9 %) predominated in the series. There was a preponderance of overweight/obesity (74.75 %), followed by arterial hypertension (73.62 %). Low cardiovascular risk prevailed (44.97 %).
Conclusions: Diabetes Mellitus is a chronic disease associated with cardiovascular complications that causes increased cardiovascular risk and impaired quality of life. It is essential to establish primary prevention strategies to detect risks early.
DeCS: HEART DISEASE RISK FACTORS; INPATIENTS; DIABETES MELLITUS; QUALITY OF LIFE; DAY CARE, MEDICAL.
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References
1. International Diabetes Federation. Atlas de la Diabetes de la FID. 9na ed [Internet]. Bruselas: FID; 2019 [citado 12 Nov 2022]. Disponible en: https://www.diabetesatlas.org/upload/resources/material/20200302_133352_2406-IDF-ATLAS-SPAN-BOOK.pdf
2. Pinilla-Roa AE, Barrera-Perdomo MP. Prevención en diabetes mellitus y riesgo cardiovascular: enfoque médico y nutricional. Rev Fac Med [Internet]. 2018 [citado 14 Oct 2022];66(3):459-68. Disponible en: http://www.scielo.org.co/pdf/rfmun/v66n3/0120-0011-rfmun-66-03-459.pdf
3. Vega Jiménez J, Verano Gómez NC, Rodríguez López JF, Labrada González E, Sánchez Garrido A, Espinosa Pire LN. Factores cardioaterogénicos y riesgo cardiovascular en diabéticos tipo 2 hospitalizados. Rev cuban med mil [Internet]. 2018 Jun [citado 18 Oct 2022];47(2). Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/119/183
4. Casanova Moreno MC, Machado Reyes F, Casanova Moreno D. Una mirada desde el posgrado para potenciar la atención del médico general integral a adultos mayores con Diabetes. JORCIENCIAPDCL [Internet]. 2022 [citado 14 Oct 2022]. Disponible en: https://jorcienciapdcl.sld.cu/index.php/jorcienciapdcl22/2022/paper/view/1/15
5. Hernández-Magdariaga A, Hierrezuelo-Rojas N, Johnson-Valenciano S, Ferrera-Velázquez L, Avila-Vazquez M. Enfoque terapéutico de la diabetes mellitus tipo 2 en la Atención Primaria ante situaciones especiales. Arch méd Camagüey [Internet]. 2022 [citado 18 Dic 2022]; 26. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/9250/4441
6. Ministerio de Salud Pública. Anuario Estadístico de Salud 2020 [Internet]. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2021 [citado 24 Abr 2022]. Disponible en: https://files.sld.cu/bvscuba/files/2021/08/Anuario-Estadistico-Espa%c3%b1ol-2020-Definitivo.pdf
7. Iglesias Marichal I, Díaz Díaz O, Orlandi González N. Centros de Atención al Diabético en Cuba como alternativa para la atención integral. INFODIR [Internet]. 2020 [citado 18 Dic 2022];33. Disponible en: https://revinfodir.sld.cu/index.php/infodir/article/view/753
8. Hernández-Conde M, Diéguez-Batista R, Riol Hernández M, Alberna-Cardoso A, Lazo-Cañete NA, Esteban-de Armas IC. Estrategia didáctica para la enseñanza-aprendizaje de la atención oftalmológica primaria al diabético. Mediciego [Internet]. 2020 [citado 18 Dic 2022];26(1). Disponible en: https://revmediciego.sld.cu/index.php/mediciego/article/view/1469/2032
9. Sotolongo Arró Q, Tamayo Vicente ND, Rodríguez Hernández M, Carmenate Neto I, Veitia Corrales G, Mejías Poey MC. Comportamiento de los factores de riesgo cardiovascular en diabéticos tipo 2 con muerte súbita. Punta Brava 2013-2017. Panorama Cuba y Salud [Internet]. 2019 [citado 18 Dic 2022];14(2). Disponible en: https://revpanorama.sld.cu/index.php/panorama/article/view/40-44
10. Suárez Carmona W, Sánchez Oliver AJ. Índice de masa corporal: ventajas y desventajas de su uso en la obesidad. Relación con la fuerza y la actividad física. Nutr Clin Med [Internet]. 2018 [citado 10 Dic 2022];XII(3):128-39. Disponible en: http://www.aulamedica.es/nutricionclinicamedicina/pdf/5067
11. Pérez Castellanos R, Piedra Garcés M, Piedra Garcés M, García Montalvo ER, Francisco Pérez JC. Factores de riesgo cardiovascular en adultos del Policlínico Docente Primero de Enero. Arch hosp Calixto García [Internet]. 2021 [citado 18 Dic 2022];9(3): Disponible en: https://revcalixto.sld.cu/index.php/ahcg/article/view/e741/666
12. Pérez Yánez LM, Gutiérrez López A, Rodríguez Blanco S. Diabetes mellitus tipo 2: Consideraciones sobre riesgo cardiovascular y rehabilitación cardiovascular. Primera parte. CorSalud [Internet]. 2021 Abr-Jun [citado 18 Dic 2022];13(2):217-28. Disponible en: https://www.medigraphic.com/pdfs/corsalud/cor-2021/cor212l.pdf
13. Sánchez Delgado JA, Sánchez Lara NE. Epidemiología de la diabetes mellitus tipo 2 y sus complicaciones. Revista Finlay [Internet]. 2022 [citado 18 Dic 2022];12(2):[aprox. 8 p.]. Disponible en: https://revfinlay.sld.cu/index.php/finlay/article/view/1121/2114
14. Valdés Gómez W, Almirall Sánchez A, Gutiérrez Pérez MA. Factores de riesgo de diabetes mellitus tipo 2 en adolescentes. Medisur [Internet]. 2019 May-Jun [citado 08 Oct 2022];17(3):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2019000300356
15. Valdés Ramos ER, Álvarez Aliaga A, Valdés Bencosme ER, Valdés Bencosme NN. Enfermedad cardiovascular aterosclerótica según el sexo en personas de edad mediana con diabetes mellitus. Rev cuba endocrinol [Internet]. 2021 May-Ago [citado 18 Dic 2022];32(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532021000200001
16. Sponholtz TR, van den Heuvel ER, Xanthakis V, Vasan RS. Association of Variability in Body Mass Index and Metabolic Health with Cardiometabolic Disease Risk. J Am Heart Assoc [Internet]. 2019 Sept [citado 13 Abr 2022];8(7): e010793. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509716/
17. Saleem Z, Saeed H, Khan ZA, Khan MIH, Hashmi FK, Islam M, et al. Association of hypertension and dyslipidaemia with increasing obesity in patients with Type 2 Diabetes Mellitus. Braz J Pharm Sci [Internet]. 2019 [citado 13 Sep 2022];55:e18136. Disponible en: https://www.scielo.br/j/bjps/a/vLqtSJN7MXqg5WFZPqn5W3m/?lang=en&format=pdf
18. Góngora Gómez O, Torres Pérez LA, Gómez Vázquez YE, Riverón Carralero WJ, Bauta Milord R. Riesgo estimado de padecer diabetes mellitus tipo 2 en pacientes hipertensos con tratamiento farmacológico. Rev cuban med gen integr [Internet]. 2021 Ene-Mar [citado 13 Sep 2020];37(1):e1355. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252021000100012
19. Revueltas-Agüero M, Molina-Esquivel E. La diabetes mellitus como factor de riesgo cardiovascular. Arch méd Camagüey [Internet]. 2022 [citado 21 Nov 2022];26:e8715. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/8715/4517
20. Castro-Juárez CJ, Cabrera-Pivaral CE, Ramírez-García SA, García-Sierra L, Morales-Pérez L, Ramírez Concepción HR. Factores de riesgo para enfermedad cardiovascular en adultos mexicanos. Rev Med [Internet]. 2018 [citado 12 Oct 2022];9(2):152-62. Disponible en: https://www.medigraphic.com/pdfs/revmed/md-2017/md172h.pdf
21. American Diabetes Association. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2021. Diabetes Care [Internet]. 2021 [citado 21 Oct 2022];44(Suppl 1):S15-S33. Disponible en: https://diabetesjournals.org/care/article/44/Supplement_1/S15/30859/2-Classification-and-Diagnosis-of-Diabetes
22. Zamora-Fung R, Blanc-Márquez A, García-Gázquez J, Borrego-Moreno Y, Fundora-Gonzales C. Estimación del riesgo cardiovascular en pacientes con diabetes mellitus tipo 2 en un consultorio médico. Univ Méd Pinareña [Internet]. 2020 Ene-Abr [citado 02 Ene 2023];16(1):e384. Disponible en: https://www.medigraphic.com/pdfs/revunimedpin/ump-2020/ump201j.pdf
23. Mak KH, Vidal-Petiot E, Young R, Sorbets E, Greenlaw N, Ford I, et al. Prevalence of diabetes and impact on cardiovascular events and mortality in patients with chronic coronary syndromes, across multiple geographical regions and ethnicities. Eur J Prev Cardiol [Internet]. 2022 Ene [citado 23 Ago 2022];28(16):1795-806. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35022686/
24. Glushkov S, Varavko Y, Maksikova T. Cardiovascular risk assessment among rural population in Russian Federation: A case study of Irkutsk region. Rev Latinoam Hipert [Internet]. 2019 [citado 16 Oct 2022];14(4):212-9. Disponible en: https://www.redalyc.org/journal/1702/170263002001/170263002001.pdf
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