Estratificação de risco em paciente portadores de diabetes e hipertensão arterial.

Abstract

The main cause of morbidity and mortality in the Brazilian population is cardiovascular diseases, with systemic arterial hypertension and diabetes mellitus important factors for the aggravation of this scenario at the national level. both diseases are considered manageable in Primary Care, which can prevent future hospitalizations, as well as deaths from cardiovascular and cerebrovascular complications. However, to do so, it is necessary to individualize each case by stratifying the patients in risk groups. OBJECTIVE: Perform cardiovascular risk stratification and of glycemic control in users accompanied by the Family Health Team of the Basic Health Unit Galante, district of the city of Campina Grande - PB. METHODOLOGY Descriptive research, outlined through data collection in the medical records, of an applied nature and with a quantitative approach, with the sample corresponding to the entire population of users with hypertension and diabetes residents in the urban area served by the aforementioned team. For analysis of the data obtained, the Framingham Risk Score (ERF) calculator was used and later analysis statistics of your results. RESULT AND DISCUSSION. The study sample it was characterized by 82 (32.5%) males and 170 (67.5%) females. A mean age recorded was 66.02 years (SD= 13.86), with a maximum of 99 years and a minimum aged 33. 50% of the sample (126) could not be evaluated by the ERF, of the remaining 126, 29 (23.1%) were classified as the “low” category, 47 (37.3%) as “intermediate” and 50 (39.6%) as “high” for developing cardiovascular disease within 10 years. At category “high cardiovascular risk”, the most present group, proportionally, was that of men and the elderly. CONCLUSION The significant number of high and medium risk individuals cardiovascular disease indicates the need for better monitoring and follow-up care. O smoking factor was underreported, indicating the need for greater appreciation of the record in the routine care, as it interferes with the assessment of risk stratification.