Document Detail


Primary care survey of awareness and control of hypertension: a hospital-based study.
MedLine Citation:
PMID:  19918167     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objectives of this cross-sectional study were to determine awareness degree, treatment status, and control of hypertension and its predictors in a consecutive group of attendees at a Buenos Aires University School Hospital primary care setting from April 2003 to May 2006. Results for 1733 hypertensive subjects, all of them white (578 men and 1155 women), were available for analyses. Mean age of hypertensive subjects was 66.61 +/- 12.34 years. Eighty-seven percent of hypertensive patients knew their diagnosis. Prevalence of hypertension was consistently higher in overweight-obese than in normal weight subjects (P < 0.001). Overall prevalence of hypertension treatment was 62%, and blood pressure (BP) control rate was 30%. Among knowledgeable treated hypertensive patients, 80.4% used only one antihypertensive drug, 17.6% used two, and 2% used three (P < 0.001). Only 8% of hypertensive patients carried out consensus-recommended dietarian guidelines. A prevention index performed with periodic general prevention measures during the past 5 years was calculated. Logistic regression model showed that independent variables more likely to be associated with poor BP control were being overweight (odds ratio [OR] 1.53, 95% confidence interval [CI] 1.057-2.208), obesity (OR 2.1, 95% CI 1.307-3.286), and previous stroke (OR 2.9, 95% CI 1.099-7.652). Conversely, the higher the prevention index, the less odds of uncontrolled BP (OR 0.841, 95% CI 0.725-0.975). These results highlight the consistency of general primary care prevention measures with achieving BP control. The poor control rates of BP found in patients who already suffered from stroke suggest that, after hospital discharge for that event, antihypertensive therapy was inadequate and document the challenge that these situations impose on primary care physicians.
Authors:
Carlos A Feldstein; Delia Garrido; Juan M Chavin; Ximena Manglano Liendo; Antonio R de los Santos
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of therapeutics     Volume:  17     ISSN:  1536-3686     ISO Abbreviation:  Am J Ther     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-05-18     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9441347     Medline TA:  Am J Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  295-300     Citation Subset:  IM    
Affiliation:
Hypertension Program, Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina. carlfel@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Antihypertensive Agents / therapeutic use*
Argentina / epidemiology
Blood Pressure / drug effects
Cross-Sectional Studies
Drug Therapy, Combination
Female
Health Knowledge, Attitudes, Practice*
Humans
Hypertension / diet therapy,  drug therapy*,  epidemiology
Logistic Models
Male
Middle Aged
Obesity / complications,  epidemiology
Overweight / complications,  epidemiology
Practice Guidelines as Topic
Prevalence
Primary Health Care
Stroke / epidemiology
Young Adult
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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