Blood pressure control in hypertensive Spanish population attended in Primary Care setting. The PRESCAP 2010 study

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Liste des auteurs: Caro JLL, Roca GCR, Moreno FJA, Diaz MAP, Banegas JRB, Alsina DGS, Arnal SL, Garrote JAD, Fernandez PB, Alonso VB
Editeur: Elsevier: 12 months
Année de publication: 2012
Numéro du volume: 139
Numéro de publication: 15
Page d'accueil: 653
Dernière page: 661
Nombre de pages: 9
ISSN: 0025-7753
Languages: Anglais-Royaume-Uni (EN-GB)


Résumé

Background and objective: This study was aimed at determining the degree of blood pressure (BP) control in hypertensive patients attended in primary care (PC) settings.Patients and method: Cross-sectional, multicenter study. Hypertensive patients >= 18 years under antihypertensive treatment attended in Spanish PC settings were included. BP control was regarded as optimum when BP values were < 140/90 mmHg in general population and < 130/80 mmHg in patients with diabetes, chronic renal disease or cardiovascular disease. BP control was also calculated for all patients when it was < 140/90 mmHg.Results: A total of 12,961 hypertensive patients (52.0% women) with a mean age of 66.3 (+/-11.4) years were included. A percentage of 46.3 (95% CI: 45.4-47.1) presented good systolic BP and diastolic BP control; 61.1% (IC 95%: 60.2-61.9) of patients presented good BP control < 140/90. A percentage of 63.6% was treated with combination therapy (44.1% with 2 drugs, 19.5% with 3 or more). BP control was significantly higher in evening measurements (50.4%) than in morning measurements (45.1%), and in patients who had taken the treatment before the visit (47.9%) compared with those who had not (30.5%). Factors such as not taking the medication before the visit, heavy alcohol consumption and dyslipemia were the risk factors mostly associated with a poor BP control (P < .001).Conclusions: Five out of 10 hypertensive patients treated in PC settings have an optimal BP control. The degree of control of arterial hypertension has improved with respect to the PRESCAP 2006 study. (C) 2011 Elsevier Espana, S.L. All rights reserved.


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Dernière mise à jour le 2019-23-08 à 11:15