Document Detail

Lack of adequate attention to elevated blood pressure in an urban hypertensive population.
MedLine Citation:
PMID:  11572412     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Efforts directed at improving blood pressure (BP) control and outcomes of hypertension require insight into how physicians diagnose and manage hypertension in various practice settings, especially in the non-continuity setting. METHODS: Retrospective, cross-sectional study. Chart review of records of hypertensive patients, and patients with elevated BP, who visited the Urgent Care Center (UCC) of an urban teaching hospital. We examined patients' characteristics associated with the diagnosis and treatment of hypertension. RESULTS: Complaint of hypertension, request for medication refill, history of hypertension and high stages of hypertension, were associated with attention to BP. Complaint of hypertension and request for medication refill were associated with prescription for antihypertensive medications. Eighty percent of stage I, 50% of stage II, and 30% of stage III levels of BP did not have their BP addressed. Attention to the blood pressure reading was significantly associated with referral for follow-up care. CONCLUSIONS: Providers do not adequately acknowledge elevated BP in the UCC. Progress in the fight against hypertension will require a change in the practice of hypertension care in the non-continuity setting to recognize elevated blood pressures during patient encounters.
E O Quaye; E Alema-Mensah; C Omeogu; D Alvarez; F Dwamena; S Harris-Hooker
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Ethnicity & disease     Volume:  11     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2001  
Date Detail:
Created Date:  2001-09-26     Completed Date:  2002-02-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  454-62     Citation Subset:  IM    
Department of Medicine, Morehouse School of Medicine, Atlanta, Georgia 30310, USA.
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MeSH Terms
Analysis of Variance
Chi-Square Distribution
Cross-Sectional Studies
Georgia / epidemiology
Hypertension / diagnosis,  epidemiology*,  therapy
Logistic Models
Middle Aged
Physician's Practice Patterns / statistics & numerical data
Retrospective Studies
Risk Factors
Urban Population
Grant Support
1P20RR 11104-05/RR/NCRR NIH HHS

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