Blood pressure monitoring and control by cardiovascular disease status in UK primary care: 10 year retrospective cohort study 1998–2007.
Background Strategies to reduce the burden of cardiovascular disease (CVD) in the UK have emphasized improved management of high-risk individuals rather than population-based approaches. Methods This 10-year retrospective cohort study examined blood pressure (BP) monitoring and control among patient...
| Publicado en: | Journal of Public Health Vol. 33; no. 2; pp. 302 - 310 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2011
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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=61047574&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 61047574 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Jun2011 vid: 33 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 61047574 104800955 104800955 10.1093/pubmed/fdq078 61047574 ppf: 302 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Blood pressure monitoring and control by cardiovascular disease status in UK primary care: 10 year retrospective cohort study 1998–2007. aug: au: Laverty, Anthony A. Bottle, Alex Majeed, Azeem Millett, Christopher affil: Department of Primary Care and Public Health , Imperial College London , St Dunstan's Road , London W6 8RP , UK sug: subj: Blood Pressure Determination Trends Cardiovascular Diseases Classification Primary Health Care United Kingdom Preventive Health Care Methods Human Funding Source United Kingdom Nonconcurrent Prospective Studies Retrospective Design Correlational Studies Comparative Studies Control Group Logistic Regression Age Factors Sex Factors Male Female Socioeconomic Factors Ethnic Groups Systolic Pressure Diastolic Pressure Quality Improvement Record Review Electronic Health Records Algorithms Utilization Odds Ratio Confidence Intervals Descriptive Statistics Male Female ab: Background Strategies to reduce the burden of cardiovascular disease (CVD) in the UK have emphasized improved management of high-risk individuals rather than population-based approaches. Methods This 10-year retrospective cohort study examined blood pressure (BP) monitoring and control among patients with and without CVD in general practices in Wandsworth, London between 1998 and 2007. Logistic regression was used to assess associations among age, gender, ethnicity, deprivation and BP control. Results The percentage of patients with elevated BP (>140/90 mm Hg) decreased at a slower rate in patients without CVD (31.0–25.3%) compared with those with CVD (56.8–36.0%) (P < 0.001). Mean systolic BP decreased from 146.1 to 136.4 mm Hg in patients with CVD and from 133.7 to 130.1 in patients without CVD. Mean diastolic BP decreased from 84.2 to 78.4 mm Hg in patients with CVD and from 80.5 to 79.0 in patients without CVD. Inequalities in BP control decreased among age, ethnic and deprivation groups but increased between men and women without CVD. Conclusions Measurement and control of BP among those with CVD has improved much more rapidly compared with those without CVD. Inequalities in BP control appeared to increase between men and women without CVD, but decreased among age, ethnicity and deprivation groups. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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