The Open Diabetes Journal




ISSN: 1876-5246 ― Volume 10, 2020
RESEARCH ARTICLE

Assessment of Cardiovascular Disease Risk among Qatari Patients with Type 2 Diabetes Mellitus, Attending Primary Health Care Centers, 2014



Anees Al-yafei1, *, Sherif O. Osman2, Nagah Selim2, Noora Alkubaisi3, Rajvir Singh4
1 Wellness Program, Preventive Medicine, Primary Health Care Corporation, Doha, Qatar
2 Family and Community Medicine, Community Medicine Training Program, Doha, Qatar
3 Clinical Affairs; Primary Health Care Corporation, Doha, Qatar;
4 Cardiology Research, Heart Hospital, Hamad Medical Corporation, Doha, Qatar

Abstract

Background:

The accumulated knowledge on the development of cardiovascular disease in diabetic patients due to clustering and synergistic interaction of multiple risk factors leads to the establishment of cardiovascular disease 10-year risk prediction tools. The management of patients based on their total risk prediction is an effective way to reduce disease burden. The behavior of such tools varies based on population and their risk profile.

Objective:

To estimate the total 10-year cardiovascular disease risk using General Framingham Risk Prediction Score and World Health Organization /International Society for Hypertension (WHO/ISH) Risk Prediction Chart on Qatari diabetic patients.

Methods:

Cross-sectional design was used. A total of 532 Qatari diabetic patients attending primary healthcare were enrolled. Data were collected using an interview administered questionnaire, anthropometric & blood pressure measurement, and medical records. The total 10-year cardiovascular disease risk was assessed using the WHO/ISH risk prediction chart and Framingham score.

Results:

The former categorized (81.6%) of participants as low risk and only (3.8%) as in high and very high risk. While the later categorized (12.2%) of participants as low risk and (57.6%) as in high and very high risk. No agreement between both tools in assessment of cardiovascular disease risk (κ = - 0.019, p-value = 0.216). All risk factors used by both tools illustrated a statistically significant relation with risk categories, except ‘anti-hypertensive medications intake’ in the Framingham score.

Conclusion:

Encouraging assessment of patients based on total risk rather than single risk factor and further study of total risk prediction can help to establish a national tool for Qatar.

Keywords: Cardiovascular disease, 10-Year risk prediction tools, General framingham risk prediction score, Type 2 diabetes mellitus, WHO/ISH, Qatar.


Article Information


Identifiers and Pagination:

Year: 2020
Volume: 10
First Page: 1
Last Page: 10
Publisher Id: TODIAJ-10-1
DOI: 10.2174/1876524602010010001

Article History:

Received Date: 09/11/2019
Revision Received Date: 15/01/2020
Acceptance Date: 22/02/2020
Electronic publication date: 23/04/2020
Collection year: 2020

© 2020 Al-yafei et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Wellness Program, Preventive Medicine, Primary Health Care Corporation, Doha, Qatar; Tel: +97455080077; E-mail: qat900@yahoo.com



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