Care management of patients with high cardiovascular risk in Hungary an international and Hungarian longitudinal comparison of target level achievement

Table 2 Distribution of the Hungarian study populations by categories, by achievement of target values, based on effective national guidelines [11, 12]

Study period	2010–2011			2015–2016
National guideline launched	2009			2015
Total study population (N)	679			628
By genders (N)	Male: 320	Female:359		Male: 312	Female:316
≤60 years	141	133		119	92
> 60 years	179	226		193	224
Average age [years±SD]	62.3 ± 11.5			62.7 ± 10.8
Years under treatment, means [±SD]	8.7 ± 6.4			10.2 ± 7.4
BMI > 25 kg/m² [%]	81.8			83.9
BMI > 30 kg/m²[%]	40.6			44.4
waist circumference (men: > 102 cm, women: > 88 cm) [%]	64.3			62.0
Smoking [%]	21.6			21.0
	STUDY SUBGROUPS			STUDY SUBGROUPS
	A	B	C	D	E
Subgroups by risk	ASY	HR-CVD	VHR	HR	VHR
BLOOD PRESSURE
Target value [mmHg]	< 140/90	< 130/80	< 130/80	< 140/90 DM: < 140/85 Nephropathy+proteinuria: < 130/80
Proportion of patients on target [%]	75.8^*	37.1	30.1	60.0^*	42.7
LDL-CHOLESTEROL
Target value [mmol/l]	< 3.0	< 2.5	< 1.8	< 2.5	< 1.8
Proportion of patients on target [%]	47.5	33.3	10.7^*	39.3	15.8^*
TRIGLICERIDE
Target value [mmol/l]	< 1.7			< 1.7
Proportion of patients on target [%]	38.5	55.2	42.1	47.8	45.0
HDL-CHOLESTEROL
Target value [mmol/l]	> 1.0 (male) > 1.3 (female)			> 1.0 (male) > 1.3 (female)
Proportion of patients on target [%]	71.6	65.6	64.1	66.7	68.0
DIABETES
Target value [HbA_1c [%]	< 7.0			< 7.0
Proportion of patients on target [%]	42.0			40.0

Abbreviations: ASY Asymptomatic high risk patient; DM diabetes mellitus; HR High risk patients, HR-CVD High risk patients with CVD; VHR Very high risk patients;
^*: Significant (p < 0.05) difference between the marked subgroups in the same row

ISSN: 2731-4553