High blood pressure despite treatment: results from a cross-sectional primary healthcare-based study in southern Sweden.
Objective. To study degree of blood pressure (BP) control in primary healthcare (PHC) treated hypertensive patients in relation to sex, age, drug treatment, and concomitant diseases. Design. Random sample of patients with hypertension. Setting. Ten PHC centres in the Region of Skåne, Sweden. Subject...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 24; no. 4; pp. 224 - 231 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106241741&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106241741 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Dec2006 vid: 24 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106241741 2009350411 10.1080/02813430601002134 NLM17118862 106241741 ppf: 224 ppct: 7 formats: fmt: @attributes: type: P tig: atl: High blood pressure despite treatment: results from a cross-sectional primary healthcare-based study in southern Sweden. aug: au: Hedblad B Nerbrand C Ekesbo R Johansson L Midlöv P Brunkstedt I Svensson P Gyllerup S Sträng B Persson R Janzon L affil: Department of Clinical Sciences in Malmö, Epidemiological Research Group, Sweden. sug: subj: Antihypertensive Agents Therapeutic Use Hypertension Drug Therapy Hypertension Epidemiology Primary Health Care Adult Aged Aged, 80 and Over Analysis of Covariance Blood Pressure Drug Effects Cross Sectional Studies Data Analysis Software Data Analysis, Statistical Descriptive Statistics Female Hypertension Risk Factors Male Medication Compliance Middle Age P-Value Random Sample Sex Factors Sweden Human Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objective. To study degree of blood pressure (BP) control in primary healthcare (PHC) treated hypertensive patients in relation to sex, age, drug treatment, and concomitant diseases. Design. Random sample of patients with hypertension. Setting. Ten PHC centres in the Region of Skåne, Sweden. Subjects. All the 30- to 95-year-old patients with hypertension who during the period 12 September to 24 September 2004 attended their PHC (146 men and 229 women). Main outcome measures. Achievement of BP control (<140/90 mmHg) according to European guidelines. Results. Some 90% had been treated > 12 months, 40% had mono-therapy, 15% >/= 3 drugs. Use of diuretics was more common in women while use of ACE inhibitors and calcium channel blockers was common in men. Inadequate BP control was related to age; only 22% had BP < 140/90 mmHg, 38% had a BP >/= 160/100 mmHg. BP decline was inversely related to BP measured 12 months or more prior to the present follow-up (r = - 0.64, p < 0.001, for systolic and r = - 0.67, p < 0.001, for diastolic BP). The systolic or diastolic BP had in every fifth patient during treatment increased by >/= 10 mmHg. No association was found between average BP decline and prescribed number of drugs. Conclusion. A minority of the patients had BP below the level (<140/90 mmHg) recommended by European guidelines. This study illustrates the need for continued follow-up of defined groups of patients in order to improve quality of care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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