Dataset Information

[Cardiovascular risk in Spanish smokers compared to non-smokers: RETRATOS study].

ABSTRACT:

Aim

To evaluate the level of cardiovascular risk in smokers seenin Primary Care clinics.

Design

Epidemiologic, cross-sectional and multicentre study.

Setting

Primary Care.

Patients

Every investigator included 4 consecutive patients (3 smokers, 1 non-smoker) aged 35-50 years, who came to the clinic for any reason. A total of 2,184 patients were included; 2,124 (1,597 smokers; 527 non-smokers) were evaluated and 60 patients were excluded because they did not meet with selection criteria.

Measurements

The 10-year risk of suffering from a fatal cardiovascular disease (CVDR) was calculated according to the SCORE (Systematic Coronary Risk Evaluation) model. The 10-year lethal CVR according SCORE model, was classified as: very high (> 15%), high (10-14%), slightly high (5-9%), average (3-4%), low (2%), very low (1%) and negligible (< 1%). A logistical regression model was used to estimate the relationship between smoking and prior cardiovascular events.

Results

10-year fatal CVDR according to the SCORE model was significantly higher in smokers (40±5.3) vs. non-smokers (1.9±2.5) (P<.0001).

Risk stratification

low (< 3%) [78.0% non-smokers vs. 60.7% smokers (P<.0001)]; intermediate (3-5%) [11.1% non-smokers vs. 12.6% smokers (P<.001)]; high (> 5%) [10.9% non-smokers vs. 26.7% smokers (P<.001)]. The logistical regression model showed that non-smokers vs. smokers had less probability of suffering myocardial infarction (OR 0.3; 95% confidence interval (95% CI): 0.1-0.8; P<.0001), peripheral vascular disease (OR 0.6; 95% CI: 0.4-1.0; P=.0180) and chronic obstructive lung disease (OR 0.18; 95% CI: 0.1-0.2; P=.0507).

Conclusions

Smoking is related to a high risk of fatal cardiovascular disease. Active promotion in Primary Care clinics of measures aimed at reducing the prevalence of the smoking habit would lead to a lowering of cardiovascular morbidity and mortality.

SUBMITTER: Fernandez de Bobadilla J

PROVIDER: S-EPMC7025142 | biostudies-literature | 2011 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

[Cardiovascular risk in Spanish smokers compared to non-smokers: RETRATOS study].

Fernández de Bobadilla Jaime J Sanz de Burgoa Verónica V Garrido Morales Patricio P López de Sá Esteban E

Atencion primaria 20110321 11

<h4>Aim</h4>To evaluate the level of cardiovascular risk in smokers seenin Primary Care clinics.<h4>Design</h4>Epidemiologic, cross-sectional and multicentre study.<h4>Setting</h4>Primary Care.<h4>Patients</h4>Every investigator included 4 consecutive patients (3 smokers, 1 non-smoker) aged 35-50 years, who came to the clinic for any reason. A total of 2,184 patients were included; 2,124 (1,597 smokers; 527 non-smokers) were evaluated and 60 patients were excluded because they did not meet with ...[more]

PMID: 21420200

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Dataset Information

[Cardiovascular risk in Spanish smokers compared to non-smokers: RETRATOS study].

Aim

Design

Setting

Patients

Measurements

Results

Risk stratification

Conclusions

Publications

[Cardiovascular risk in Spanish smokers compared to non-smokers: RETRATOS study].

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