YẾU TỐ LIÊN QUAN ĐẾN TÌNH TRẠNG KIỂM SOÁT LDL-C THEO KHUYẾN CÁO HỘI TIM MẠCH CHÂU ÂU/HỘI XƠ VỮA ĐỘNG MẠCH CHÂU ÂU 2019 Ở NGƯỜI CAO TUỔI TẠI PHÒNG KHÁM BAN BẢO VỆ CHĂM SÓC SỨC KHỎE CÁN BỘ TỈNH CÀ MAU

Tèo Lê Văn; Tiến Vương Hữu; Khang Hà Phạm Trọng; Dũng Hồ Sĩ; Công Nguyễn Đức

doi:10.59354/ydth175.2021.97

Keywords:

low-density lipoprotein cholesterol (LDL-C), elderly, SCORE Risk Charts

Abstract

Background: Intensive control of low-density lipoprotein cholesterol (LDL-C) prevents cardiovascular outcomes in the elderly.

Objectives: To assess related factors to LDL-C goal achievement in older officials at Healthcare department of the Provincial Party Committee in Ca Mau province as recommended by European Society of Cardiology/European Atherosclerosis Society 2019 (ESC/EAS 2019).

Methods: Cross- sectional study in 674 individuals, the male/female ratio was 4,6/1, the mean age was 69,28. They were collected clinical information, medical history and test LDL-C level to assess cardiovascular risk and related factors to LDL-C control status.

Results: The prevalence of LDL-C goal achievement was 22.7% according to ESC/EAS 2019 guidelines. Non-smoking people had higher ratio of achievement (OR 2.03, CI 95% 1.04 – 3.97, p=0.038). Those with the treatment compliance had higher ratio of achievement (OR 7.78, CI 95% 3.69 – 16.42, p <0.001). Compared with individuals treated with atorvastatin, those with rosuvastatin had a higher rate of reaching LDL-C goal (OR 2.08, CI 95% 1.02 – 4.25, p=0.044). Those with moderate risk had higher chance of LDL-C achievement (OR 5.69, CI 95% 2.84 – 11.38, p <0.001).

Conclusions: The ratio of reaching the LDL-C as recommended by ESC/EAS 2019 in the elderly in the officer healthcare department of Provincial Party Committee in Ca Mau province was not high. Non-smokers, adherence with treatment, treated with rosuvastatin (compared with atorvastatin) were associated factors with higher achievement of LDL-C target. People at moderate cardiovascular risk have a higher rate of LDL-C control than people at very high risk.

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