Survey of Risk Factor Management (SURF) data of Turkey: Cardiovascular risk factor control ratios in 15 different types of healthcare centers [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2017; 45(5): 398-407 | DOI: 10.5543/tkda.2017.39032

Survey of Risk Factor Management (SURF) data of Turkey: Cardiovascular risk factor control ratios in 15 different types of healthcare centers

Lale Tokgözoğlu1, Aytekin Oğuz2, Mustafa Kemal Balcı3, Ahmet Temizhan4, Esma Güldal Altunoğlu5, Osman Bektaş6, Güler Aslan7, Özgün Iyigün8, Ahmet Kara9, Handan Tanrıverdi Pınar10, Saffet Yavuz11, Murat Tekin12, Saffet Ercan13, Selda Çelik14, Özlem Sezgin Meriçliler15, İrem Bozkurt Çakır16
1Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara
2Department of Internal Medicine, Göztepe Training and Research Hospital, Medeniyet University Faculty of Medicine, İstanbul
3Department of Internal Medicine and Endocrinology, Akdeniz University Faculty of Medicine, Antalya
4Department of Cardiology, Türkiye Yüksek İhtisas Hospital, Ankara
5Department of Internal Medicine, Ministry of Health Istanbul Training and Research Hospital, Istanbul
6Department of Cardiology, Fatsa State Hospital, Ordu
7Department of Family Medicine, Ministry of Health Havran State Hospital, Balıkesir
8Department of Internal Medicine, Ministry of Health Silopi State Hospital, Şırnak
9Nene Hatun Family Medicine Center, İstanbul
10Şehit Dr. Yüksel Demir Number 1 Family Medicine Center, Elazığ
11Gynecology-Obstetrics and Children Hospital, Mardin
12Department of Internal Medicine, Onsekiz Mart University Faculty of Medicine, Çanakkale
13Beyoğlu Number 6 Family Medicine Center, İstanbul
14Avrasya Medi Tech Hospital, Ordu
15Department of Internal Medicine, Acıbadem University Faculty of Medicine, İstanbul
16Department of Internal Medicine, Ardahan State Hospital, Ardahan


OBJECTIVE
The aim of this study was to evaluate the adherence to recommendations for secondary prevention and the achievement of treatment targets for the control of risk factors in patients with established coronary heart disease (CHD) who were followed-up at various healthcare facilities in Turkey.

METHODS
According to the protocol of the international Survey of Risk Factor Management study, questionnaire forms were completed and demographic, anthropometric, and laboratory data of CHD patients who were followed-up at a total of 15 selected primary, secondary, and tertiary healthcare centers were recorded.

RESULTS
Among a total of 724 CHD patients (69.8% male; mean age: 63.3±10.7 years) included in the study, 18.4% were current smokers, only 19.1% had normal body mass index, and 22.1% had waist circumference below the limit of abdominal obesity. Physical activity was insufficient in 53% of the patients, 47.3% had low high-density lipoprotein cholesterol value, 46% had triglyceride level above 150 mg/dL, and 67% had glycated hemoglobin value of 6.5% or above. Of all the patients, 88.1% were using antiplatelet drugs, 71.4% were using beta-blockers, 55.7% were using statins, and 41.9% were using angiotensin-converting enzyme inhibitors/angiotensin receptor blockers. Blood pressure was under control in 56.7% of the hypertensive patients using antihypertensive drugs, and the proportion of diabetic patients who reached glycemic control targets using antidiabetic drugs was 35.9%. Low-density lipoprotein cholesterol was below 70 mg/dL in 12.2% of the patients using statins.

CONCLUSION
According to the data obtained, among Turkish CHD patients, the control rate of cardiovascular risk factors is low, and implementation of the recommendations regarding lifestyle modification and medication use for secondary prevention in the current guidelines are insufficient.

Keywords: Cardiovascular disease, questionnaire, risk factors, secondary prevention.

Lale Tokgözoğlu, Aytekin Oğuz, Mustafa Kemal Balcı, Ahmet Temizhan, Esma Güldal Altunoğlu, Osman Bektaş, Güler Aslan, Özgün Iyigün, Ahmet Kara, Handan Tanrıverdi Pınar, Saffet Yavuz, Murat Tekin, Saffet Ercan, Selda Çelik, Özlem Sezgin Meriçliler, İrem Bozkurt Çakır. Survey of Risk Factor Management (SURF) data of Turkey: Cardiovascular risk factor control ratios in 15 different types of healthcare centers. Turk Kardiyol Dern Ars. 2017; 45(5): 398-407

Corresponding Author: Aytekin Oğuz, Türkiye
© copyright 2017 Archives of the Turkish Society of Cardiology
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