Burden of Systemic Hypertension in Patients Admitted to Cardiology Hospitalization Units

Cordero, Alberto; Bertomeu-González, Vicente; Moreno‐Arribas, José; Agudo, Pilar; López-Palop, Ramón; Masiá, M. Dolores; Miralles, Beatriz; Mateo, Irene; Quiles, Juan; Bertomeu‐Martínez, Vicente

doi:10.1016/j.amjcard.2011.07.016

Cited by 12 publications

(5 citation statements)

References 27 publications

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“…Most of the common complications faced in raised blood pressure patients are heart attack, stroke, congestive heart failure, and kidney disease. Additionally, inadequate blood pressure control increases the risk of hypertensive crises with the need for hospitalization [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Blood pressure control status of patients with hypertension on treatment in Dessie City Northeast Ethiopia

2022

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Introduction Uncontrolled blood pressure contributes a huge contribution to many hypertension-related complications and it is one of the unbeaten problems for patients taking antihypertensive drugs. The association of social support and other factors with uncontrolled blood pressure during the covid-19 pandemic is not well investigated. Therefore, this study explored the determinants of blood pressure control status during the COVID-19 pandemic among patients with hypertension who were on an antihypertensive treatment. Method A cross-sectional study was done from March to May 2021 among adults aged 18 or more patients with hypertension for three months or more on treatment in Dessie City. An interview-administered questionnaire was done using simple random sampling from hypertension follow-up register for 380 patients with hypertension. Blood pressure measurement was taken from their arm using a stethoscope and mercury sphygmomanometer at a sitting position with 90-degree back support. Uncontrolled blood pressure was also computed either the systolic or diastolic blood pressure greater than or less than the limit of uncontrolled blood pressure with regarding the age and diabetic status of patients. The perceived social support-related questionnaire was adopted from the Multidimensional Scale of Perceived Social Support (MSPSS) -12 item checklist. It was sum-up and transformed into three categories using tertile of their computed raw scores. The adjusted prevalence ratio with a 95 percent confidence interval (CI) was used to calculate the strength of the association between uncontrolled blood pressure and independent predictors using log-binomial regression analysis. A P-value less than 0.05 was declared as statistically significant in multivariable log-binomial regression analysis. Result A total of 360 study participants were included in this study. The prevalence of uncontrolled blood measures in patients with hypertension with a 95% CI was 55.8(50.7, 61.0). In a multivariable analysis adjusted prevalence ratio with 95% CI for poor medication adherence 1.86(1.59,2.19), being male 1.35(1.11,1.64), secondary education 0.52(0.35,0.77), and low social support 1.24(1.01, 1.54) were the predictors of uncontrolled blood pressure. Conclusion Uncontrolled blood pressure for patients with hypertension on treatment is higher during the COVID-19 pandemic. Being male, poor medication adherence, educational status and low social support are factors that contribute to uncontrolled blood pressure.

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Section: Introductionmentioning

confidence: 99%

Blood pressure control status of patients with hypertension on treatment in Dessie City Northeast Ethiopia

2022

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“…Hypertension is usually accompanied by other diseases such as heart disease, renal failure, stroke and vascular disease [ 3 ], conditions that have significant associated morbidity and mortality [ 4 ]. Suboptimal treatment of hypertension may not only increase the risk of accompanying diseases, but also lead to higher health resource utilization.…”

Section: Introductionmentioning

confidence: 99%

Emergency Department and Inpatient Healthcare utilization due to Hypertension

Singh

2016

BMC Health Serv Res

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Background Hypertension is one of the commonest chronic diseases, yet limited data are available for related health care utilization. Our study objective was to describe the emergency department (ED) and subsequent hospitalization related health care utilization and charges due to hypertension in the U.S.MethodsWe used the National ED sample (NEDS) to study hypertension-related utilization and charges. Multivariable-adjusted linear or logistic regression was used to assess hypertension-associated ED and hospitalization outcomes (disposition, length of stay, charges), adjusted for patient demographic, comorbidity and hospital characteristics.ResultsThere were 0.92, 0.97 and 1.04 million ED visits (0.71–0.77 % of all ED visits) with hypertension as the primary diagnosis in 2009, 2010 and 2012, respectively; 23 % resulted in hospitalization. ED charges were $2.00, $2.27 and $2.86 billion, and for those hospitalized, total charges (ED plus inpatient) were $6.62, $7.09 and $7.94 billion, in 2009, 2010 and 2012, respectively. Older age (50 to 65 years), female sex, metropolitan area residence, South or West U.S. hospital location, private insurance and the presence of congestive heart failure were each associated with higher charges for an ED visit with hypertension as the primary diagnosis. Younger age, metropolitan residence, Medicaid insurance, hospital location in the Northeast and co-existing diabetes, gout, coronary heart disease, chronic obstructive pulmonary disease, hyperlipidemia and osteoarthritis were associated with higher risk, whereas male sex was associated with lower risk of hospitalization after ED visit for hypertension. In 2012, 71.6 % of all patients hospitalized with hypertension as the primary diagnosis were discharged home. Older age, metropolitan residence and most comorbidities were associated with lower odds, whereas male sex, payer other than Medicare, South or West U.S. hospital location were associated with higher odds of discharge to home.ConclusionsHypertension is associated with significant healthcare burden in the U.S. Future studies should assess strategies to reduce hypertension-associated cost and health care burden.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1563-7) contains supplementary material, which is available to authorized users.

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“…In these patients, control of complications may significantly reduce mortality for these diseases, as well as the costs of treating these complications 3 . Additionally, an inadequate blood pressure control may increase the risk of hypertensive crises with the need for hospitalization 4 . Several factors may be related to adherence, including the patients' characteristics, quality of the doctor-patient relationship, severity of disease, access to health care, and specific factors related to the drug prescription 5 .…”

Section: Introductionmentioning

confidence: 99%

Blood Pressure Control in Hypertensive Patients in the "Hiperdia Program": A Territory-Based Study

Souza¹,

Stein²,

Bastos³

et al. 2014

Arquivos Brasileiros De Cardiologia

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BackgroundSystemic hypertension is highly prevalent and an important risk factor for cardiovascular events. Blood pressure control in hypertensive patients enrolled in the Hiperdia Program, a program of the Single Health System for the follow-up and monitoring of hypertensive patients, is still far below the desired level.ObjectiveTo describe the epidemiological profile and to assess blood pressure control of patients enrolled in Hiperdia, in the city of Novo Hamburgo (State of Rio Grande do Sul, Brazil).MethodsCross-sectional study with a stratified cluster random sample, including 383 adults enrolled in the Hiperdia Program of the 15 Basic Health Units of the city of Porto Alegre, conducted between 2010 and 2011. Controlled blood pressure was defined as ≤140 mmHg × 90 mmHg. The hypertensive patients were interviewed and their blood pressure was measured using a calibrated aneroid device. Prevalence ratios (PR) with 95% confidence interval, Wald's χ2 test, and simple and multiple Poisson regression were used in the statistical analysis.ResultsThe mean age was 63 ± 10 years, and most of the patients were females belonging to social class C, with a low level of education, a sedentary lifestyle, and family history positive for systemic hypertension. Diabetes mellitus (DM) was observed in 31%; adherence to the antihypertensive treatment in 54.3%; and 33.7% had their blood pressure controlled. DM was strongly associated with inadequate BP control, with only 15.7% of the diabetics showing BP considered as controlled.ConclusionEven for hypertensive patients enrolled in the Hiperdia Program, BP control is not satisfactorily reached or sustained. Diabetic hypertensive patients show the most inappropriate BP control.

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Burden of Systemic Hypertension in Patients Admitted to Cardiology Hospitalization Units

Cited by 12 publications

References 27 publications

Blood pressure control status of patients with hypertension on treatment in Dessie City Northeast Ethiopia

Blood pressure control status of patients with hypertension on treatment in Dessie City Northeast Ethiopia

Emergency Department and Inpatient Healthcare utilization due to Hypertension

Blood Pressure Control in Hypertensive Patients in the "Hiperdia Program": A Territory-Based Study

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