Tendency and relation of cardiovascular risk, as well as risk factor related to diabetic and hypertensive patients, in Muang and Maerim district of Chiang Mai, budget year 2013-2015
Keywords:
Cardiovascular disease, Cardiovascular risk, Framingham heart studyAbstract
Background: Following the patients with diabetes and hypertension coming at Primary care unit, Cardiovascular risk and associated risk factors trend to be increasing. Study aims to investigate tendency and relation between cardiovascular risk and risk factor in order to design suitable behavior modification.
Objectives : 1. To study cardiovascular risk and tendency in area-based analysis 2. To study risk factors and tendency, relation to cardiovascular risk, weight to influence risk among people
Methods: The cross-sectional analytic study was analyzed from database of Primary care unit. Analysis involved cardiovascular risk (Framingham heart study) and risk factors among patient with diabetes and hypertension. We need to prove that characteristics of population from other areas can merge or not. We analyze relation, tendency and weight between cardiovascular risk and risk factors one by one. We don’t use any randomization because all of people that pass from inclusion and exclusion criteria will be enrolled.
Result : Total 2,348 patients (Muang 582 and Maerim 1,766) were included into analysis. Cardiovascular risk are developed from 15.91% to 17 .54% (1.62% (1.2, 1.99), p < 0.01) in Muang and from 14.65% to 16.39% (1.74% (1.55, 1.93), p < 0.01) in Maerim. Risk factors affecting cardiovascular risk are discreted by area. The top three coefficients are smoking (11.57 (10.91, 12.22), p < 0.01, 11.58 (11.20, 11.96), p < 0.01), diabetes (10.18 (9.84, 10.52), p < 0.01, 9.77 (9.56, 9.97), p < 0.01), and hypertension (5.38 (2.20, 8.57), p < 0.01), 5.25 (3.58, 6.93), p < 0.01). Others are SBP, HDL, eGFR, Cholesterol, LDL and Triglyceride, respectively. All factors are most
likely to increase year by year.
Conclusion: Cardiovascular risks are increased from 2013 to 2015. That’s related to NCD registration, Lipid profile, eGFR. Behavior modification for Muang should focus on primary prevention, diet, and exercise. Maerim should focus on diet, and smoking cessation
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