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.

Regardless of if into the “Other Departments” the newest proportions away from managed clients (55.9% to have blood pressure and 62.4% having lipid decreasing drugs) was not the highest (Extra file 1: Table S1), the mark attainment cost getting BP (43.4%) (More document 2: Dining table S2), LDL-C (68%) (Desk dos) and you may one another BP and you can LDL-C (thirty-five.5%) (More file 3: Table S3) was basically the best among the divisions looked at. A possible need could be you to definitely in the “Most other Departments” the fresh new frequency out of comorbidities and risk points was basically lower and you will fewer clients wanted to features their BP and LDL-C significantly less than mmHg and 2.0 mmol/L, correspondingly.

Today’s data has numerous restrictions. Because it are an observational mix-sectional analysis, long-term consequences could not getting examined. Continue reading →