This new mutual mission attainment rates both for BP and LDL-C is actually low (22
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 if for the “Other Departments” the new percent away from managed people (55.9% to have blood pressure and you will 62.4% to own lipid lowering medications) was not the highest (Extra file step one: Table S1), the mark attainment pricing getting BP (43.4%) (Even more file 2: Desk S2), LDL-C (68%) (Desk dos) and you can one another BP and you may LDL-C (35.5%) (Most document 3: Dining table S3) had been the highest one of all departments checked-out. A potential need would be you to definitely in “Almost every other Divisions” the newest prevalence out-of comorbidities and you may chance affairs have been straight down and a lot fewer customers necessary to features its BP and LDL-C not as much as mmHg and you can 2.0 mmol/L, correspondingly.