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Table 5 Percentage of patients at clinical targets

From: Quality of cardiovascular disease care in Ontario, Canada: missed opportunities for prevention - a cross sectional study

Clinical Outcome

Percentage of Patients at Target* Levels [95% CI]

All

 

 Blood pressure (n = 4581)

49.7% [47.1-52.3%]

 LDL (n = 3661)

37.1% [34.3-39.8%]

 Fasting blood glucose (n = 3892)

70.5% [68.5-72.5%]

 ACR (n = 1534)

95.8% [94.8-96.7%]

Coronary Artery Disease

 

 Blood pressure (n = 1393)

60.2% [56.3-64.1%]

 LDL (n = 1094)

51.7% [47.5-56.0%]

 Fasting blood glucose (n = 1190)

77.1% [74.6-79.5%]

Peripheral Vascular Disease

 

 Blood pressure (n = 302)

54.0% [47.6-60.3%]

 LDL (n = 219)

52.5% [44.8-60.3%]

 Fasting blood glucose (n = 247)

73.7% [69.2-78.2%]

Stroke

 

 Blood pressure (n = 588)

59.9% [55.0-64.7%]

 LDL (n = 403)

44.4% [39.4-49.4%]

 Fasting blood glucose (n = 475)

79.4% [76.0-82.8%]

Diabetes

 

 Hemoglobin A1c (n = 1924)

59.3% [56.6-62.0%]

 Blood pressure (n = 2137)

34.1% [31.1-37.2%]

 LDL (n = 1793)

47.1% [43.4-50.9%]

 ACR (n = 1155)

95.3% [94.2-96.4%]

Chronic Kidney Disease

 

 ACR (n = 435)

89.0% [86.4-91.5%]

 Blood pressure (n = 867)

40.6% [35.8-45.4%]

 LDL (n = 660)

48.8% [44.2-53.4%]

Dyslipidemia

 

 LDL (n = 3262)

39.7% [36.9-42.5%]

Hypertension

 

 Blood pressure (n = 3587)

46.9% [44.1-49.7%]

Risk Factor Only †

 

 Blood pressure (n = 1042)

62.8% [58.6-66.9%]

 LDL (n = 835)

13.8% [11.3-16.3%]

 Fasting blood glucose (n = 839)

97.3% [96.1-98.4%]

  1. ACR – Albumin to creatinine ratio, LDL – Low density lipoprotein.
  2. * Target levels:
  3. Blood pressure: <130/80 for those patients that have diabetes and/or chronic kidney disease and 140/90 for all other patients.
  4. LDL < 2.0 mmol/L, ACR < 40, Fasting Blood Glucose (<7 mmol/L, > 4 mmol/L), HbA1c < 7.0%.
  5. † Patients that did not have established cardiovascular disease, diabetes or chronic kidney disease, but were at high risk for cardiovascular disease based on the presence of at least three of the following cardiovascular risk factors: age (males ≥ 45, females ≥ 55), smoker, hypertension, and dyslipidemia.