The burden of modifiable cardiovascular risk factors in the coronary care unit by age, ethnicity, and socioeconomic status - PREDICT CVD-9

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dc.contributor.author Kerr, Andrew en
dc.contributor.author McLachlan, A en
dc.contributor.author Furness, Susan en
dc.contributor.author Broad, Joanna en
dc.contributor.author Riddell, Tania en
dc.contributor.author Jackson, Rodney en
dc.contributor.author Wells, Linda en
dc.date.accessioned 2012-01-03T20:48:41Z en
dc.date.issued 2008 en
dc.identifier.citation New Zealand Medical Journal 121(1285):33-40 2008 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/10300 en
dc.description.abstract Aims To investigate the burden of modifiable cardiovascular disease (CVD) risk factors in patients admitted to coronary care by age, ethnicity, and socioeconomic status. Design and setting Cross-sectional study of patients presenting to the Middlemore Hospital Coronary Care Unit with an acute CVD event from July 2004 to June 2006. Methods CVD risk factor data was electronically collected using Acute PREDICT. Socioeconomic status was estimated using the NZ Deprivation 2001 index (NZDep01). Results Of 973 patients 34% were <55 years and 10% were <45 years, 24.8% were women, and 44.6% lived in areas classified as most deprived. 61.5% were European/other, 13.0% NZ Māori, 15.2% Pacific, and 10.3% South Asian. Younger patients, regardless of ethnicity, were much more likely to be smokers, be obese, have elevated LDL and trigyceride, and low HDL levels. Māori and Pacific patients were more likely than European/other patients to smoke, have diabetes, obesity, elevated triglycerides, and low HDL. These ethnic differences persisted across the age range. Increasing deprivation was associated with more smoking, obesity, hypertriglyceridaemia and diabetes, with the excess of smoking and obesity being most pronounced in younger patients. Conclusions In patients presenting to coronary care, there is a high burden of adverse modifiable CVD risk factors, particularly in younger patients and among Māori and Pacific people from areas of high deprivation. These risk factors are a major and reversible contributor to future CVD risk in these groups, and an important target for secondary prevention programs. en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://journal.nzma.org.nz/journal/copyright.html en
dc.title The burden of modifiable cardiovascular risk factors in the coronary care unit by age, ethnicity, and socioeconomic status - PREDICT CVD-9 en
dc.type Journal Article en
pubs.issue 1285 en
pubs.begin-page 33 en
pubs.volume 121 en
dc.rights.holder Copyright: New Zealand Medical Association en
dc.identifier.pmid 19079434 en
pubs.author-url http://journal.nzma.org.nz/journal/121-1285/ en
pubs.end-page 40 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 84082 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 19079434 en


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