Status of risk factors for atherosclerotic cardiovascular disease high risk residents in a community-based investigation

ObjectiveTo investigate the control status of risk factors for atherosclerotic cardiovascular disease (ASCVD) high risk residents in a community based on guideline recommendation, which may help general physician focus on guideline-directed management and therapy, and reduce the incidence and mortality of ASCVD.

MethodsIn this cohort study, pharmacy and medical claims data from Gumei Community Health Service Center database were queried for residents with high risk for ASCVD. Telephone interview confirmed related information. Control status and related factors were analyzed.

ResultsOne thousand one hundred and thirty-nine residents stratified into high risk group for ASCVD were selected, including 941 hypertensive patients and 708 diabetic patients. Among 941 hypertensive patients, blood pressure control rate was 91%, and analysis in subgroups indicated that sex, obesity, smoking and exercise habit were not associated with CR (P>0.05). Among 708 diabetic patients, HbA1c control rate was 60%, which was higher in non-smokers than smokers (62% vs 44%, P < 0.05). In all patients, LDL-C control rate was 62%, which was higher in male vs female, smokers vs non-smokers, and no regular exercise vs regular exercise subgroups (P < 0.05). Binary logistic regression analysis indicated that female, non-diabetic and regular exercise were associated with LDL-C poor control (OR=2.392, 1.383 and 1.545, P < 0.05 to P < 0.01).

ConclusionsIn these ASCVD high risk residents, control rate of hypertension was optimal, but control rates of HbA1c and LDL-C were not satisfied. Female, non-diabetic and regular exercise correlates with higher LDL-C level, which neds more attention in these subgroups.