Avaliação após estratificação de risco cardiovascular de pacientes hipertensos e diabéticos atendidos em duas unidades básicas de saúde no município de União da Vitória-PR: Estamos atingindo as metas de tratamento?

Abstract

The public health system adopted in Brazil guarantees the equity and universality of its access and its gateway is in the Basic Health Units, which have a purpose to attend up to 80% of the population's basic health problems. The useges of cardiovascular risk stratification, in addition to multidisciplinary interventions, started at the beginning of the 20th century, due to the jump in mortality that heart diseases started to cause and are configured as important tools for accurate diagnosis and treatment, interruption of range worsening risk and consequently a decrease in mortality. There are several common risk factors for cardiovascular disease such as arterial hypertension, diabetes mellitus, smoking, dyslipidemia and psychosocial factors. Therefore, this research aimed to stratify the cardiovascular risk level of patients included in the group of noncommunicable chronic diseases, treated at the UBS (Basic Health Unit) Nossa Senhora do Rocio and Nossa Senhora da Salete in the municipality of União da VitóriaPR, besides evaluating whether the patients are within goals adopted by the Brazilian guidelines for cardiovascular prevention. This work was carried out by analyzing the medical records of 164 patients, classified by sociodemographic, laboratory, medicative, multidisciplinary team and clinical interpretation characteristics. The age group of the stratified patients was predominantly above 60 years old, with 59.8% of the patients being of the female sex. When comparing the general stratification of patients in both UBS (Basic Health Unit), we obtained a stratification of 26.2% of patients in the very high risk range, 51.2% in the high risk range, 18.9% in the intermediate risk range and finally, 3.7% of patients in the low-risk range. In this study a prevalence of approximately 75% of stratified patients was observed, presenting themselves outside the therapeutic goals according to the Brazilian Consensus for the Standardization of Lipid Profile. Among the analyzed records and with regard to the pressure goal, a prevalence of uncontrolled blood pressure can be observed in the intermediate risk groups of 38.7% and very high risk of 39.5%. Consequently, it is concluded that after analyzing all groups, there was a significant prevalence between the levels of high and very high risk stratification, showing forceful numbers, in addition to a relevant percentage of patients with cardiovascular risk at low and intermediate levels who exhibit high correlations with exponential risk factors. There is a need for greater popularization of knowledge about the goals, mainly aiming at secondary prevention.