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Vol. 158. Issue 4.
Pages 153-158 (February 2022)
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Vol. 158. Issue 4.
Pages 153-158 (February 2022)
Original article
Cardiovascular diseases in people with diabetes mellitus in Spain according to the Primary Care Clinical Database (BDCAP) in 2017
Enfermedades cardiovasculares en personas con diabetes mellitus en España según la Base de Datos Clínicos de Atención Primaria (BDCAP) en 2017
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Pedro Pujante Alarcóna,b,
Corresponding author
pedropujanteal@gmail.com

Corresponding author.
, Edelmiro Luis Menéndez Torrea,b, Paula Morales Sánchezb, Raúl Rodríguez Escobedoa, Santiago Conde Barreiroc, Gemma Rojo Martínezd, Elías Delgado Alvareza,b, authors on behalf of the Grupo de Epidemiología de la Sociedad Española de Diabetes (SED)
a Servicio de Endocrinología y Nutrición, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
b Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Asturias, Spain
c Centro de Salud de Barbastro, Hospital de Barbastro, Barbastro, Huesca, Spain
d Servicio de Endocrinología y Nutrición, Hospital Regional de Málaga, IBIMA, Málaga, Spain
Article information
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Figures (1)
Tables (3)
Table 1. Population with and without diabetes.
Table 2. Cardiovascular comorbidities in people with and without diabetes by age group.
Table 3. Odds ratio of cardiovascular comorbidities in people with diabetes versus people without diabetes.
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Abstract
Introduction and objectives

Atherosclerotic cardiovascular disease and heart failure are the leading cause of morbidity and mortality in patients with diabetes. The objective of this work is to know the prevalence of atherosclerotic cardiovascular diseases and heart failure in people diagnosed with diabetes in Spain during 2017 and compare them with those not diagnosed with diabetes according to age and sex.

Methods

Data for diagnoses of diabetes mellitus (DM), acute myocardial infarction (AMI), stroke, peripheral artery disease (PAD) or heart failure (HF) for 2017 were obtained from the National Health System's Primary Care Clinical Database (BDCAP).

Results

Comparing people with diabetes and people without diabetes over 35 years of age, the Odds Ratio (OR) for being diagnosed with acute myocardial infarction, stroke, peripheral artery disease or heart failure is about 2 in those over 64 years of age and more than 4 in patients under that age. This OR is superior in females versus males for all diagnoses apart from peripheral artery disease.

Conclusions

This study shows the high cardiovascular comorbidity of patients with diabetes in Spain, with a greater excess of risk in patients under 65 years of age, more pronounced in women. We should offer more intensive treatment for DM2 in women.

Keywords:
Diabetes mellitus
Spain
Cardiovascular disease
Women
Resumen
Introducción y objetivos

La enfermedad cardiovascular ateroesclerótica y la insuficiencia cardiaca son la principal causa de morbimortalidad en los pacientes con diabetes. El objetivo de este trabajo es conocer la prevalencia de enfermedades cardiovasculares ateroscleróticas y de insuficiencia cardíaca en personas diagnosticadas de diabetes en España durante el año 2017 y compararlas con las de las personas no diagnosticadas de diabetes en función de la edad y el sexo.

Métodos

Los datos correspondientes a los diagnósticos de diabetes mellitus (DM), infarto agudo de miocardio (IAM), accidente cerebrovascular (ACV), arteriopatía periférica (AP) o insuficiencia cardiaca (IC) del año 2017 se obtuvieron de la Base de Datos Clínicos de Atención Primaria (BDCAP) del Sistema Nacional de Salud.

Resultados

Comparando personas con diabetes y sin diabetes mayores de 35 años, la Odds Ratio (OR) de estar diagnosticado de IAM, ACV, AP o IC es de alrededor de 2 en el caso de los mayores de 64 años y superior a 4 en los menores de esa edad. Esta OR es mayor en las mujeres respecto a los varones para todos los diagnósticos con excepción de la arteriopatía periférica.

Conclusiones

Este estudio muestra la elevada comorbilidad cardiovascular de los pacientes con diabetes en España, objetivando un mayor de riesgo en los menores de 65 años, más acentuado en mujeres, lo que hace necesario un tratamiento más intensivo en este colectivo de pacientes.

Palabras clave:
Diabetes mellitus
España
Enfermedades cardiovasculares
Mujeres

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