Factors Associated with Goal Achievement in Patients with Dyslipidemia in Primary Care
Introduction: Dyslipidemia promotes atherosclerotic disease. A strategy to reduce this risk is to achieve low-density lipoprotein (LDL) goals; however, these are often not attained. Objectives: To analyze variables associated with achieving proposed goals in primary care. Methods: A cross-sectiona...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de Antioquia
2025-01-01
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| Series: | Iatreia |
| Subjects: | |
| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/349827 |
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| Summary: | Introduction: Dyslipidemia promotes atherosclerotic disease. A strategy to reduce this risk is to achieve low-density lipoprotein (LDL) goals; however, these are often not attained.
Objectives: To analyze variables associated with achieving proposed goals in primary care.
Methods: A cross-sectional study with an analytical approach was conducted. Sociodemographic variables, comorbidities, cardiovascular risk categories, and statin use were included. Binomial regression was performed to obtain crude prevalence ratios (PR), and a multivariate model was used to determine variables associated with achieving LDL goals, represented by adjusted prevalence ratios (aPR).
Results: 147 patients were included. The median age was 63 years. 62.6% were female. 88.4% of patients were hypertensive. 43.5% had very high cardiovascular risk, and only 34.7% of patients met LDL goals. Factors associated with goal achievement in the bivariate analysis were: sex, diabetes, hypertension, cardiovascular risk, and statin intensity and type. In the multivariate model, being male (aPR 1.69), age (aPR 1.03), and hypertension (aPR 6.59) were significant; as was the degree of risk classified by guidelines: high risk (aPR 0.44), very high (aPR 0.07), and extreme (aPR 0.01).
Conclusions: LDL goal achievement in primary care is low. The main factors associated with achieving LDL goals are age, sex, and hypertension; while high cardiovascular risk is a factor that hinders goal attainment. |
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| ISSN: | 0121-0793 2011-7965 |