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Journal article
Implications of the 2021 ESC Cardiovascular Risk Classification among 283,000 European Immigrants Living in a Low-Risk Region: A Population-Based Analysis in Catalonia
Archives of medical science
07 Dec 2021
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction
The ESC recently classified European countries into 4 cardiovascular risk regions. However, whether Europeans from higher-risk countries living in lower-risk regions may benefit from intensive cardiovascular prevention efforts, is unknown. We described the burden of risk factors and cardiovascular disease (CVD) among European-born immigrants living in Catalonia, a low-risk region.
Material and methods
Retrospective cohort study of 5.6 million adults of European origin living in Catalonia in 2019, including 282,789 European-born immigrants. We used the regionwide healthcare database and classified participants into 5 groups: low-, moderate-, high-, and very high-risk, and local-born. Age-standardized prevalence was estimated as of December 31st, 2019 and incidence was computed during 2019 among at-risk individuals.
Results
The very high-risk was the largest immigrant group (N=136,910; 48.4%), while the high-risk group was the smallest (N=15,739; 5.6%). These two had the highest burden of coronary heart disease across all groups evaluated, in both men and women. The very high-risk group also had the highest prevalence of hypertension and obesity at young-to-middle age, and the burden of risk factors newly diagnosed during 2019 was highest in high- and very high-risk participants. The mean age at first diagnosis of risk factors and CVD was lower in these groups.
Conclusions
In Catalonia, residents born in high- and very-high-risk European countries are at increased risk of coronary heart disease and newly diagnosed risk factors. Low-risk European countries may consider tailored prevention efforts, early screening of risk factors, and adequate healthcare resource planning to better address the health needs of men and women from higher-risk countries.
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Details
- Title
- Implications of the 2021 ESC Cardiovascular Risk Classification among 283,000 European Immigrants Living in a Low-Risk Region: A Population-Based Analysis in Catalonia
- Creators
- Emili Vela - Healthcare Information and Knowledge Unit, Catalan Health Service, Barcelona, Spain, Spain, Digitalization for the Sustainability of the Healthcare System (DS3), Sistema de Salut de Catalunya, Barcelona, Spain, SpainMontse Cleries - Healthcare Information and Knowledge Unit, Catalan Health Service, Barcelona, Spain, Spain, Digitalization for the Sustainability of the Healthcare System (DS3), Sistema de Salut de Catalunya, Barcelona, Spain, SpainUsama Bilal - Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia (PA), USA, United StatesMaciej Banach - Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz (MUL), Lodz, Poland, PolandJohn McEvoy - National University of Ireland and National Institute for Preventive Cardiology, Galway, Ireland, Ireland, Division of Cardiology, Department of Medicine, Saolta University Healthcare Group, University College Hospital Galway, Galway, Ireland, IrelandMartin Mortensen - Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark, Denmark, Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore (MD), USA, United StatesMichael Blaha - Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore (MD), USA, United States, Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore (MD), USA, United StatesKhurram Nasir - Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston (TX), USA, United States, Center for Outcomes Research, Houston Methodist, Houston (TX), USA, United States, Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore (MD), USA, United StatesJosep Comin-Colet - Department of Cardiology, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain, Spain, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, Barcelona, Spain, Spain, Pla Director de Malalties Cardiovasculars, Health Department of the Government of Catalonia, Catalonia, Spain, SpainJosepa Mauri - Pla Director de Malalties Cardiovasculars, Health Department of the Government of Catalonia, Catalonia, Spain, Spain, Department of Cardiology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain, SpainMiguel Cainzos-Achirica - Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston (TX), USA, United States, Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore (MD), USA, United States, Pla Director de Malalties Cardiovasculars, Health Department of the Government of Catalonia, Catalonia, Spain, Spain
- Publication Details
- Archives of medical science
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000921618400031
- Scopus ID
- 2-s2.0-85164329573
- Other Identifier
- 991019189057304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Medicine, General & Internal