Blood pressure control in patients with hypertension: a retrospective cohort study

Aydoğan, Ümit; Doğaner, Yusuf Çetin; Atik, Aslı; Rohrer, James E.; Gök, Deniz Engin; Cirpan, Ebru; Yılmaz, Mahmut İlker; Sağlam, Kenan

doi:10.1111/jep.12318

Cited by 2 publications

(3 citation statements)

References 23 publications

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“…In contrast, studies from Japan and Turkey have reported BP control rates from 16% to 48% in previously uncontrolled, and from 35% to 72% in previously controlled individuals [34, 35]. However, their BP goals for patients with diabetes or older age were lower than ours.…”

Section: Discussioncontrasting

confidence: 80%

“…It suggests that having other diseases and/or other health-related experiences could influence on acceptance of disease, decision to take treatment and treatment compliance [50, 51]. Despite this observation, a warning signal comes from other longitudinal studies that have shown that hypertensive populations without other medical comorbidities are less likely to achieve BP control targets [35, 56]. …”

Section: Discussionmentioning

confidence: 99%

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Characteristics Associated With Antihypertensive Treatment and Blood Pressure Control: A Population-Based Follow-Up Study in Peru

Zavala-Loayza

Benziger

Cárdenas

et al. 2016

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Background Over a quarter of the world’s adult population has hypertension, yet achieving adequate treatment or control targets remain a challenge. Objective To identify, longitudinally, characteristics associated with antihypertensive treatment and blood pressure (BP) control among individuals with hypertension. Methods Data from individuals enrolled in the population-based CRONICAS Cohort Study (adults ≥35 years, living in four different rural/urban and coastal/high-altitude Peruvian settings) with hypertension at baseline was used. Antihypertensive treatment and BP control were assessed at baseline and at 15 months. Multinomial logistic regressions were used to estimate relative-risk ratios (RRR) and 95% confidence intervals (95% CI) of factors associated with antihypertensive treatment and BP control at follow-up. Results At baseline, among 717 individuals with hypertension (53% female, mean age 61.5±12.4 years), 28% were unaware of their hypertension status, 30% were aware but untreated, 16% were treated but uncontrolled, and 26% were treated and controlled. At follow-up, 89% of unaware and 82% of untreated individuals persisted untreated, and only 58% of controlled individuals remained controlled. Positive predictors of receiving treatment at follow-up included age (RRR 0.81, 95% CI: 0.73–0.91 for every 5 years) and family history of a chronic disease (RRR 0.53, 95% CI: 0.31–0.92, vs. no history); whereas Puno rural site (RRR 16.51, 95% CI: 1.90–143.56, vs. Lima) and male sex (RRR 2.59, 95% CI: 1.54–4.36) were risk factors. Systolic BP at baseline (RRR 1.27, 95% CI: 1.16–1.39 for every 5 mmHg) and male sex (RRR 1.75, 95% CI: 1.02–2.98) were risk factors for being uncontrolled at follow-up. Conclusion Large gaps in treatment of hypertension were observed. Targeting specific populations such as men, younger individuals or those without family history of disease may increase coverage of antihypertensive treatment. Also, targeting male individuals or those with higher systolic BP could yield better rates of BP control in the short term.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Characteristics Associated With Antihypertensive Treatment and Blood Pressure Control: A Population-Based Follow-Up Study in Peru

Zavala-Loayza

Benziger

Cárdenas

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Diabetes, congestive heart failure and chronic kidney disease were predictors of uncontrolled BP in another retrospective study (Rowan, Turner, Shah, & Spaeder, 2014). Contrastingly, diabetes and baseline systolic blood pressure (SBP) were positively associated with SBP improvement, while age and polypharmacy were negatively associated with the same outcome (Aydogan et al, 2015).…”

Section: Introductionmentioning

confidence: 94%

<b>Factors related to blood pressure control in a prospective cohort of hypertensive outpatients

Wachholz

Masuda

Ferrari

et al. 2016

Acta Sci. Health Sci.

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Previous studies have reported a controversial relationship between inadequate blood pressure control and predictor variables. Current prospective cohort study analyzes the interference of age, gender, diabetes and medication adherence in the control of blood pressure of hypertensive outpatients. Patients were interviewed under blind conditions to determine medication adherence, and clinical variables assessment were standardized. Univariate analysis of variance identified the variables correlated to blood pressure control at the end of the follow-up period. Missing data were excluded from analysis. After adjusting for confounders with univariate analysis, the association between the outcome (BP control rate) with significant factors and the calculated adjusted odds ratios (OR) and their 95% CI was analyzed by logistic regression. No interference by age or medication adherence in blood pressure control was reported. In fact, the higher the number of medications in use, the greater were the chances of having blood pressure control in disorder. Females are associated with a 3.1 increase in odds ratio of poor blood pressure control. Compared with non-diabetic hypertensive patients, hypertensive diabetic ones had a lower chance of poor blood pressure control.

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Blood pressure control in patients with hypertension: a retrospective cohort study

Abstract: Although the progress in achieving in BP targets was encouraging, only half of patients had reached the HT goals. Adequate pharmacological approaches and comprehensive management strategies should be implemented in hypertensive patients.

Cited by 2 publications

References 23 publications

Characteristics Associated With Antihypertensive Treatment and Blood Pressure Control: A Population-Based Follow-Up Study in Peru

Characteristics Associated With Antihypertensive Treatment and Blood Pressure Control: A Population-Based Follow-Up Study in Peru

<b>Factors related to blood pressure control in a prospective cohort of hypertensive outpatients

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