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

The Journal of Spinal Cord Medicine, 2011 · DOI: 10.1179/107902610x12883422813589 · Published: January 1, 2011

Spinal Cord Injury Cardiovascular Science Endocrinology

Simple Explanation

This study investigates how well men with spinal cord injuries (SCI) are managed for dyslipidemia (abnormal cholesterol levels) according to National Cholesterol Education Program (NCEP) guidelines. The study found that dyslipidemia is common in men with chronic SCI, but treatment and control rates are not optimal, especially in those at intermediate and high risk for coronary heart disease (CHD). These findings suggest a need for improved screening, prevention, and treatment of dyslipidemia in individuals with SCI to reduce their risk of cardiovascular disease.

Study Duration

Not specified

Participants

38 men with traumatic SCI

Evidence Level

Cross-sectional study

Key Findings

1
Dyslipidemia was present in 39.5% of the men with chronic SCI.
2
Of those with dyslipidemia, 60% were receiving treatment, but only 66.7% of those on treatment met their treatment goals.
3
Control of dyslipidemia was less common in individuals at higher risk for CHD.

Research Summary

This cross-sectional study assessed dyslipidemia management in men with chronic SCI according to NCEP guidelines, revealing suboptimal treatment and control rates, particularly in intermediate- and high-risk groups. The study compared lipid profiles of SCI patients with data from the MESA population, finding a lower HDL-C level in the SCI group. The authors conclude that improved efforts are needed to address dyslipidemia in this population, given their increased risk of CVD.

Practical Implications

Improve Screening

Enhanced screening for dyslipidemia in men with chronic SCI is necessary to identify those who need treatment.

Optimize Treatment Strategies

Treatment strategies should be optimized, particularly for individuals at intermediate and high risk for CHD, to improve control of dyslipidemia.

Prioritize CVD Risk Reduction

Given the increased risk of CVD in individuals with chronic SCI, dyslipidemia management should be a top priority for physicians treating this population.

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

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improve Screening

Optimize Treatment Strategies

Prioritize CVD Risk Reduction

Study Limitations

Your Feedback

Was this summary helpful?

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

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improve Screening

Optimize Treatment Strategies

Prioritize CVD Risk Reduction

Study Limitations

Your Feedback

Was this summary helpful?