Clinical outcomes of hypertensive and diabetic patients enrolled in a chronic care program at two healthcare provider institutions of the Red de Salud Ladera in Cali, Colombia, during the 2023–2024 period.
DOI:
https://doi.org/10.22517/25395203.25861Keywords:
hypertension, type 2 diabetes mellitus, chronic diseases, cardiovascular risk, Primary health careAbstract
This study aimed to monitor hypertensive and diabetic patients receiving care at two healthcare provider institutions within the Red de Salud Ladera network during the 2023–2024 period. A descriptive cross-sectional observational study was conducted using a sample of 395 patient records from the chronic care program at the Hormiguero and Cascajal institutions. Database quality was assessed, and clinical variables were recoded according to national guidelines.
Univariate analysis included frequencies for qualitative variables and measures of central tendency and dispersion for quantitative variables. A total of 94.2% of patients had hypertension, 34.7% had type 2 diabetes mellitus, and 28.9% had both conditions. Older adults predominated (75%), as did women (68.4%).
Among hypertensive patients, 34.8% were not adequately controlled, while 56% of diabetic patients had poor glycemic control. Additionally, 78.7% had dyslipidemia, and 32% of those evaluated with glomerular filtration rate (GFR) had chronic kidney disease. A concerning finding was that 25.8% of patients lacked records of recommended follow-up tests.
These findings highlight a high burden of risk factors, including overweight, obesity, and cardiovascular history, which may compromise the effectiveness of clinical management. The results underscore the need to strengthen prevention, control, and follow-up strategies in chronic care programs. Promoting a comprehensive and personalized approach is essential to improve health outcomes and quality of life in this vulnerable population.
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