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The new mutual objective attainment price for both BP and LDL-C are suprisingly low (twenty-two
Our multivariate logistic regression analysis showed that obesity, diabetes, coronary heart disease, cerebrovascular disease and chronic kidney disease were independent risk factors associated with BP target attainment failure. 9%) in our hypertensive dyslipidemia patients. For those with diabetes, CHD and/or CKD, the lower BP target (< mmHg) in the 2010 Chinese Hypertension Guideline may partially account for the disappointing BP attainment rates. However, the BP target rate in patients with obesity or cerebrovascular disease were also very low, though these patients shared the same BP target value (SBP/DBP < mmHg) as uncomplicated hypertensives. Moreover, the analysis of dyslipidemia management in DYSIS-China also revealed that diabetes was a strong predictor of failure in attaining LDL-C and non-HDL-C goals . Zhao's result are in accordance with the findings of our multivariate logistic regression analysis, which showed that diabetes was an independent risk factor for not achieving BP and combined BP and LDL-C targets. Therefore, besides the stricter BP target value for these comorbidities, there must be other reasons (vide supra) that may account for the low BP target attainment rates. Further measures should be taken to spread the recommendations of our guidelines in order to improve BP and LDL-C control rate in patients with comorbidities. The doctors in endocrine or neurology departments should focus more on the control of BP and LDL-C in their patients, though the circumstances in other departments were also not optimal in our study.
Even though in the “Other Divisions” the fresh proportions from addressed customers (55.9% for blood pressure and you can 62.4% to have lipid reducing medicines) wasn’t the best (Extra document step 1: Table S1), the target attainment prices to own BP (43.4%) (Most document dos: Table S2), LDL-C (68%) (Table 2) and both BP and you can LDL-C (thirty five.5%) (Most file 3: Desk S3) was indeed the best one of the divisions checked-out. A possible explanation would-be one into the “Other Departments” the newest incidence out-of comorbidities and you will risk circumstances was in fact all the way down and you will less customers necessary to provides their BP and you will LDL-C significantly less than mmHg and dos.0 mmol/L, respectively.
The current study has several restrictions. Whilst was an enthusiastic observational cross-sectional investigation, long-identity consequences could not become assessed.