Adherence with the National Cholesterol Education Program guidelines in men with chronic spinal cord injury

Jesse A. Lieberman, Flora Hammond, Thomas A. Barringer, David C. Goff, H. James Norton, William L. Bockenek, William M. Scelza

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: Describe the management of dyslipidemia and adherence to the National Cholesterol Educational Program (NCEP) guidelines in men with Spinal Cord Injury (SCI) Research: Cross-sectional study of a consecutive sample of men with SCI presenting to a single site for coronary heart disease (CHD) risk assessment. Participants/Methods: Men age 45 to 70 with traumatic SCI (ASIA A, B, and C) at least 10 years prior to participation in the study with no prior history of clinical CHD. Medical history, blood-pressure, and fasting lipid panel were used to calculate risk for CHD using NCEP guidelines and the Framingham Risk Score (FRS). Adherence to treatment recommendations and adequacy of control were assessed based on the NCEP guidelines. Results: 38 men were assessed; 15/38 (39.5%, 95% Cl: 24.0-56.6%) had dyslipidemia, defined as an LDL-C above their LDL-C treatment threshold (n=6) or being on treatment for dyslipidemia (n=9, for a 60% treatment rate (9/15, 95% Cl: 32.3-83.7%)). Of the 9 individuals on treatment, 6 (66.7%) met their treatment goals (for a 40% overall control rate (6/15, 95% Cl: 16.3-67.7%)). Dyslipidemia was well controlled in low risk individuals, but control was less common in higher risk individuals. Conclusions: Dyslipidemia is common in men age 45-70 with chronic SCI and no evidence of clinical cardiovascular disease. Rates of treatment and control of dyslipidemia in this population are far from optimal, especially among the intermediate- and high-risk groups.

Original languageEnglish
Pages (from-to)28-34
Number of pages7
JournalJournal of Spinal Cord Medicine
Volume34
Issue number1
DOIs
StatePublished - Jan 2011

Fingerprint

Spinal Cord Injuries
Dyslipidemias
Cholesterol
Guidelines
Education
Coronary Disease
Therapeutics
Fasting
Cardiovascular Diseases
Cross-Sectional Studies
Blood Pressure
Lipids
Research
Population

Keywords

  • Coronary heart disease
  • Dyslipidemia
  • Guideline adherence
  • National Cholesterol Education Program
  • Spinal cord injury

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Adherence with the National Cholesterol Education Program guidelines in men with chronic spinal cord injury. / Lieberman, Jesse A.; Hammond, Flora; Barringer, Thomas A.; Goff, David C.; Norton, H. James; Bockenek, William L.; Scelza, William M.

In: Journal of Spinal Cord Medicine, Vol. 34, No. 1, 01.2011, p. 28-34.

Research output: Contribution to journalArticle

Lieberman, Jesse A. ; Hammond, Flora ; Barringer, Thomas A. ; Goff, David C. ; Norton, H. James ; Bockenek, William L. ; Scelza, William M. / Adherence with the National Cholesterol Education Program guidelines in men with chronic spinal cord injury. In: Journal of Spinal Cord Medicine. 2011 ; Vol. 34, No. 1. pp. 28-34.
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