Increased occurrence of cardiovascular events and comorbidities in a general rheumatology cohort.

Hdl Handle:
http://hdl.handle.net/10147/207740
Title:
Increased occurrence of cardiovascular events and comorbidities in a general rheumatology cohort.
Authors:
Mohammad, A; Hartery, K; Bond, U; Phelan, M
Affiliation:
Department of Rheumatology, South Infirmary Victoria University Hospital, Cork,, Ireland. ausafmohammad@gmail.com
Citation:
Ir J Med Sci. 2010 Jun;179(2):273-6. Epub 2010 Feb 26.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207740
DOI:
10.1007/s11845-010-0475-5
PubMed ID:
20186515
Abstract:
BACKGROUND: To identify cardiovascular and other comorbidities in a general rheumatology cohort. METHODS: Interviews/retrospective chart audits were conducted on 1,000 patients attending rheumatology outpatient clinics of a university teaching hospital. Comorbidities were classified using the Charlson comorbidity index (Ambrose et al. in Ir J Med Sci 178(1):53-55, 2009). RESULTS: Mean age 58 +/- 15.3 years, mean BMI 26. Of the patients, 400 (40%) were diagnosed with dyslipidemia and hypertension (p = 0.002), 160 (16%) with obesity and 80 (8%) with hypothyroidism. Overall 160 (16%) patients were diagnosed with coronary heart disease (CHD). Of these, 120 (75%) had RA (p = 0.001), 100 (63%) were male, mean age 60 +/- 15.8 years, 120 (75%) had dyslipidemia and BMI > 30 (p = 0.002), 112 (70%) were smokers (p = 0.002), 40 (25%) were diagnosed with diabetes mellitus and 20 (12%) with hypothyroidism. CONCLUSIONS: The increased prevalence of these comorbidities may serve as a reminder to the rheumatologists that many of their patients will have coexistent disease of which they need to be aware to properly plan their management.
Language:
eng
MeSH:
Aged; Arthritis, Rheumatoid/epidemiology; Body Mass Index; Cardiovascular Diseases/*epidemiology; Cohort Studies; Comorbidity; Coronary Artery Disease/epidemiology; Dyslipidemias; Female; Hospitals, Teaching; Humans; Hypertension; Hypothyroidism; Ireland/epidemiology; Male; Middle Aged; Obesity; Outpatients; Prevalence; Retrospective Studies; Rheumatic Diseases/*epidemiology; Risk Factors
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMohammad, Aen_GB
dc.contributor.authorHartery, Ken_GB
dc.contributor.authorBond, Uen_GB
dc.contributor.authorPhelan, Men_GB
dc.date.accessioned2012-02-01T10:42:34Z-
dc.date.available2012-02-01T10:42:34Z-
dc.date.issued2012-02-01T10:42:34Z-
dc.identifier.citationIr J Med Sci. 2010 Jun;179(2):273-6. Epub 2010 Feb 26.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid20186515en_GB
dc.identifier.doi10.1007/s11845-010-0475-5en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207740-
dc.description.abstractBACKGROUND: To identify cardiovascular and other comorbidities in a general rheumatology cohort. METHODS: Interviews/retrospective chart audits were conducted on 1,000 patients attending rheumatology outpatient clinics of a university teaching hospital. Comorbidities were classified using the Charlson comorbidity index (Ambrose et al. in Ir J Med Sci 178(1):53-55, 2009). RESULTS: Mean age 58 +/- 15.3 years, mean BMI 26. Of the patients, 400 (40%) were diagnosed with dyslipidemia and hypertension (p = 0.002), 160 (16%) with obesity and 80 (8%) with hypothyroidism. Overall 160 (16%) patients were diagnosed with coronary heart disease (CHD). Of these, 120 (75%) had RA (p = 0.001), 100 (63%) were male, mean age 60 +/- 15.8 years, 120 (75%) had dyslipidemia and BMI > 30 (p = 0.002), 112 (70%) were smokers (p = 0.002), 40 (25%) were diagnosed with diabetes mellitus and 20 (12%) with hypothyroidism. CONCLUSIONS: The increased prevalence of these comorbidities may serve as a reminder to the rheumatologists that many of their patients will have coexistent disease of which they need to be aware to properly plan their management.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshArthritis, Rheumatoid/epidemiologyen_GB
dc.subject.meshBody Mass Indexen_GB
dc.subject.meshCardiovascular Diseases/*epidemiologyen_GB
dc.subject.meshCohort Studiesen_GB
dc.subject.meshComorbidityen_GB
dc.subject.meshCoronary Artery Disease/epidemiologyen_GB
dc.subject.meshDyslipidemiasen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHospitals, Teachingen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypertensionen_GB
dc.subject.meshHypothyroidismen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshObesityen_GB
dc.subject.meshOutpatientsen_GB
dc.subject.meshPrevalenceen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshRheumatic Diseases/*epidemiologyen_GB
dc.subject.meshRisk Factorsen_GB
dc.titleIncreased occurrence of cardiovascular events and comorbidities in a general rheumatology cohort.en_GB
dc.contributor.departmentDepartment of Rheumatology, South Infirmary Victoria University Hospital, Cork,, Ireland. ausafmohammad@gmail.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-
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