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Factores de riesgo cardiovascular y el índice tobillo-brazo / Cardiovascular risk factors and the ankle-arm index
Pena Álvarez, Vanesa.
Afiliação
  • Pena Álvarez, Vanesa; Centro de Salud de Rosalía de Castro. Área de Atención Primaria. Vigo. España
Metas enferm ; 18(7): 20-23, sept. 2015. tab
Article em Es | IBECS | ID: ibc-143118
Biblioteca responsável: ES1.1
Localização: BNCS
RESUMEN

OBJETIVO:

analizar la relación entre la presencia de los factores de riesgo cardiovascular (diabetes, hipertensión arterial -HTA-,tabaquismo y dislipemia) y los valores predictivos del índice tobillo-brazo (ITB) de enfermedad arterial periférica.

MÉTODO:

estudio observacional analítico de cohortes, realizado desde enero de 2013 a enero de 2014 en el ámbito de la Atención Primaria del área de salud de Vigo, centrado en el Centro de Salud de Rosalía de Castro. Se siguieron dos cohortes de mayores de 50 años sin enfermedad arterial periférica uñaron algún factor de riesgo como tener HTA, diabetes, dislipemia y ser fumador (cohorte expuesta) y otra cohorte en la que los pacientes no tenían ningún factor (cohorte no expuesta). En ambas se ha medido el índice tobillo brazo (ITB). Se ha calculado las tasas de incidencia de ITB + y el riesgo relativo (RR) con respecto a cada uno de los factores de riesgo.

RESULTADOS:

se obtiene una incidencia de ITB + en pacientes con HTA de un 3,9% con un RR 0,97 [0,22-4,22], de 6,2% en pacientes con dislipemia con un RR de 1,54 [0,42-5,55], de11,4% en pacientes fumadores con un RR de 2,85 [0,75-10,8] y de un 6,2% en pacientes diabéticos con un RR de 1,56 [0,43-5,62]. En los pacientes sin factores de riesgo se observa una incidencia de ITB+ del 4%.

CONCLUSIONES:

en este estudio no se ha podido demostrar que exista relación estadísticamente significativa entre tener un factor de riesgo cardiovascular y presentar un ITB+, aunque las tasas de incidencia de ITB+ aparecen más altas en los pacientes fumadores, seguidos de los que presentan dislipemia y diabetes
ABSTRACT

OBJECTIVE:

to analyze the relationship between the presence of cardiovascular risk factors (diabetes, hypertension (HT), smoking and dyslipidemia) and the predictive values of the ankle-armindex (AAI) regarding Peripheral Arterial Disease.

METHOD:

an analytical observational study of cohorts, conducted from January, 2013 to January, 2014 in the Primary Care setting of the Vigo healthcare area, focused on the Health Centre Rosalía de Castro. Follow-up was conducted for two cohorts of patients over 50-year-old without Peripheral Arterial Disease, one of them with some risk factor, such as HT, diabetes, dyslipidemia and smoking (exposed cohort), and another cohort where patients had no risk factor (non-exposed cohort). In both, the ankle-arm index (AAI) had been measured. The rates of incidence of AAI+ and relative risk (RR) were calculated for each one of the risk factors.

RESULTS:

an incidence of AAI+ was observed in patients with HT of 3.9% with a 0.97 RR [0.22-4.22], of 6.2% in patients with dyslipidemia with a 1.54 RR [0.42-5.55], of 11.4% in smoking patients with a 2.85 RR [0.75-10.8] and of 6.2% in diabetic patients with a 1.56 RR [0.43-5.62]. In patients without any risk factor, the incidence of AAI+ observed was 4%.

CONCLUSIONS:

this study has not been able to demonstrate that there is a statistically significant relationship between the presence of a cardiovascular risk factor and having an AAI+, though the rates of AAI+ incidence appear higher in smoking patients, followed by those with dyslipidemia and diabetes
Assuntos
Texto completo: 1 Base de dados: IBECS Assunto principal: Doenças Cardiovasculares / Índice Tornozelo-Braço / Doença Arterial Periférica Tipo de estudo: Etiology_studies / Health_technology_assessment / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: Es Ano de publicação: 2015 Tipo de documento: Article
Texto completo: 1 Base de dados: IBECS Assunto principal: Doenças Cardiovasculares / Índice Tornozelo-Braço / Doença Arterial Periférica Tipo de estudo: Etiology_studies / Health_technology_assessment / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: Es Ano de publicação: 2015 Tipo de documento: Article