Avaliação da adequação de metas lipídicas em relação à estratificação de risco cardiovascular em pacientes diabéticos

Abstract

Background: Cardiovascular diseases are the main cause of mortality in diabetic individuals. Thus, it is essential that patients have their cardiovascular risk assessed and that the proposed treatments are guided by this risk. Objectives: To evaluate the adequacy of lipid targets in relation to cardiovascular risk stratification in diabetic patients. Methods: Cross-sectional study with 157 patients, over 18 years old and of both sexes, diagnosed with Diabetes Melito and treated between January 2017 and July 2019 at two tertiary hospitals in Passo Fundo, RS. Cardiovascular risks and adequacy of the lipid target of diabetic patients were classified using the Cardiovascular Risk Stratification Calculator according to recommendations in the literature, using LDL-c and / or non-HDL-c values and other information obtained from medical records. The level of statistical significance considered significant was p <0,05. Results: 63,0% of the patients were female, and the mean age was 61 ± 12,5 years. Most patients were diagnosed with type 2 DM and had a high cardiovascular risk classification (71,3%). In total, 79,6% of patients were outside the recommended lipid target. Among the patients within the target, 59,4% of them received treatment according to the guideline. Regarding patients outside the target, 40,0% of them received treatment without being recommended by the guideline, and 36,8% did not receive any lipid-lowering treatment. Conclusions: Most diabetic patients are outside the recommended lipid target. Among the patients within the target, only slightly more than a half of them received the lipid-lowering treatment recommended by the guideline.