Impact of Clinical Factors on the Achievement of Target Blood Pressure in Hypertensive Patients from Ivanovo Region of Russia: Data of 2015

Kiselev, Anton R.; Posnenkova, Olga M.; Белова, О. А.; Романчук, С. В.; Popova, Yulia V.; Прохоров, М. Д.; Gridnev, Vladimir I.

doi:10.1007/s40292-017-0227-y

Cited by 6 publications

(7 citation statements)

References 36 publications

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“…Affordability and unreliable devices are the two main reasons why patients do not check their blood pressure regularly [ 46 ]. Individual medical education is the most critical aspect of blood pressure regulation [ 47 ]. The fundamental method for hypertension control is to make people more aware of it, treat it, and maintain it under control [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…The problem of achievement of target blood pressure consists of patient-related barrier, physician-related barrier, and health care system-related barrier, so that a team-based approach to blood pressure control that involves nurses, pharmacists, and physician assistants should be emphasized [ 49 ]. People with high blood pressure can benefit from antihypertensive medication, while complications and aging make it less probable to achieve the desired blood pressure [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

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Modifiable and Non-modifiable Factors Associated with Low Awareness of Hypertension Treatment in Indonesia: A Cross-Sectional Population-Based National Survey

2022

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Introduction: Low awareness about hypertension treatment is recognized as a significant cause of treatment failure. Therefore, identifying its underlying factors is essential for developing effective intervention strategies. This study aims to identify the modifiable and non-modifiable factors associated with low awareness about hypertension treatment.Method: This national, cross-sectional, population-based survey used publicly available data from the Indonesian Family Life Survey (IFLS-5) for 2014 among respondents with hypertension aged ≥15 years. Depression and insomnia, as modifiable factors, were assessed using the Centre for Epidemiologic Studies-Depression (CES-D) and the Patient-Recorded Outcomes Measurement Information System (PROMIS) questionnaire, respectively. Non-modifiable factors, such as sociodemographic information, were obtained from self-reported data. Logistic regression analysis was used to assess the association between these factors and low awareness about hypertension treatment. Odds ratios (ORs) with 95% confidence intervals (CIs) were reported. Result:The study recruited 7,920 respondents, the majority of whom were female (53.8%) and aged <60 years (71.1%). The prevalence of low awareness of hypertension treatment was 87.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modifiable and Non-modifiable Factors Associated with Low Awareness of Hypertension Treatment in Indonesia: A Cross-Sectional Population-Based National Survey

2022

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“…Faktor-faktor tersebut diantaranya rasionalitas pengobatan, kepatuhan pasien, usia, jenis kelamin, adanya komorbid, dan jumlah obat (Rikmasari, 2018;Kiselev et al, 2017). Menurut WHO lebih dari setengah dari sejumlah obat di dunia diresepkan dengan tidak rasional dan setengah dari pasien menggunakan obat secara tidak tepat.…”

Section: Pendahuluanunclassified

“…Hasil odds ratio menunjukan bahwa usia kurang dari 65 tahun memiliki kecenderungan untuk dapat mencapai keberhasilan terapi hipertensi 0,167 kali lebih kecil dibandingkan usia ≥ 65 tahun. Hasil penelitian ini tidak sejalan dengan penelitian yang dilakukan oleh Kiselev et al (2017), terkait dampak faktor klinis pada peningkatan target tekanan darah pada pasien hipertensi di Rusia bahwa usia > 55 tahun mengurangi frekuensi tercapainya target tekanan darah. Bertambahnya usia merupakan faktor penting dalam perkembangan terjadinya hipertensi.…”

Section: Hubungan Antara Usia Terhadap Keberhasilan Terapiunclassified

Hubungan antara Rasionalitas Penggunaan Antihipertensi terhadap Keberhasilan Terapi Pasien Hipertensi di RSND Semarang

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2022

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Hipertensi adalah penyakit yang ditandai dengan meningkatnya tekanan darah sistol ≥ 140 mmHg dan diastole ≥ 90 mmHg. Prevalensi hipertensi pada penduduk ≥ 18 tahun di Kota Semarang berada pada urutan ke-5 dengan penderita sebesar 40,69%. Pemilihan obat yang rasional pada pasien hipertensi menjadi bagian yang penting dalam mencapai keberhasilan terapi. Penelitian ini bertujuan mengetahui hubungan rasionalitas penggunaan antihipertensi, hubungan antara usia, jenis kelamin, pola penggunaan obat dan penyakit penyerta terhadap keberhasilan terapi serta mengetahui gambaran rasionalitas penggunaan antihipertensi dan keberhasilan terapi pasien hipertensi rawat jalan di RSND Semarang. Penelitian ini merupakan penelitian observasional dengan pendekatan cross sectional menggunakan rekam medis pasien hipertensi dan pengambilan sampel secara purposive sampling. Uji chi-square digunakan untuk analisis bivariat dan uji regresi logistik untuk analisis multivariat. Hasil analisis menunjukkan adanya hubungan antara rasionalitas penggunaan antihipertensi dan usia dengan keberhasilan terapi pasien hipertensi (p < 0,05) dan tidak terdapat hubungan antara jenis kelamin, pola penggunaan obat dan penyakit penyerta dengan keberhasilan terapi (p > 0,05). Penggunaan antihipertensi pada pasien hipertensi rawat jalan di RSND Semarang menunjukkan tepat indikasi 100%, tepat obat 83,9%, tepat dosis 92,9% dan tepat pasien 94,9%. Secara keseluruhan rasionalitas penggunaan obat antihipertensi pasien sebesar 73,7%. Sebanyak 44,4% pasien dapat mencapai target tekanan darah dan 55,6% pasien tidak dapat mencapai target tekanan darah.

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“…In this issue of High Blood Pressure and Cardiovascular Prevention, Kiselev and co-authors reported a detailed and comprehensive analysis of clinical factors that may have potential impact on the achievement of the blood pressure goals in a large sample of adult individuals with hypertension in the Ivanovo, Russia [8]. This study is part of the larger Russian Registry of Hypertension, Coronary Artery Disease and Chronic Heart Failure, which is a retrospective, continuous, nation-wide, web-based registry.…”

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confidence: 99%

Educational Interventions May Promote Better Blood Pressure Control in Russia

Figliuzzi¹

2017

High Blood Press Cardiovasc Prev

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Control of hypertension still remains an unresolved clinical problem. Despite marked improvement in both diagnostic opportunities and availability of integrated and well-tolerated antihypertensive drug therapies, several reports have independently and consistently showed a relatively high prevalence of the disease (ranging between 25 and 35%) and persistently low rates of blood pressure control (about 35-45%) [1][2][3]. This, of course, may have potentially harmful consequences for the sustainability of Health Care Systems, since hypertension is the most common cardiovascular risk factor in the general population, and it is responsible for the vast majority of cardiovascular morbidity and mortality, worldwide [4].Indeed, hypertension-related clinical conditions, including coronary artery disease, stroke, renal failure, congestive heart failure and other metabolic abnormalities (mostly diabetes), heavily affect quality of life and markedly impact on costs related to complex pharmacological therapies and hospitalizations. In addition, the progressively increasing incidence of other cardiovascular and metabolic risk factors, such as smoking, obesity, dyslipidaemia, and metabolic syndrome, and the wide-spread adoption of unhealthy habits (e.g. sedentary life, unbalanced diet, physical and mental stress) further promote the risk of developing sustained blood pressure rise and accelerate the progression of hypertension-related atherosclerotic diseases. On the basis of these considerations, closer attention might be devoted by physicians and health care providers for implementing strategies aimed at preventing the development and improving awareness of hypertension, respectively.Evidence demonstrated that the first step for reducing the burden of a given disease, namely hypertension, in a setting of clinical practice should be an appraisal on prevalence, awareness, treatment and control rates of this clinical condition. With these purposes, numerous observational studies and epidemiological registries have been progressively made available during the last decades in various countries, worldwide. Information obtained from these analyses are of potential clinical relevance, since they can be effectively implemented by recommendations derived from international guidelines, in order to improve the clinical management and achieve the recommended blood pressure targets. In particular, recent studies have demonstrated that the implementation of rational and effective therapeutic regimes, mostly based on combination therapies, may promote higher rates of blood pressure control also in the setting of real practice [5][6][7].In this issue of High Blood Pressure and Cardiovascular Prevention, Kiselev and co-authors reported a detailed and comprehensive analysis of clinical factors that may have potential impact on the achievement of the blood pressure goals in a large sample of adult individuals with hypertension in the Ivanovo, Russia [8]. This study is part of the larger Russian Registry of Hypertension, Coronary Artery Disease...

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Impact of Clinical Factors on the Achievement of Target Blood Pressure in Hypertensive Patients from Ivanovo Region of Russia: Data of 2015

Cited by 6 publications

References 36 publications

Modifiable and Non-modifiable Factors Associated with Low Awareness of Hypertension Treatment in Indonesia: A Cross-Sectional Population-Based National Survey

Modifiable and Non-modifiable Factors Associated with Low Awareness of Hypertension Treatment in Indonesia: A Cross-Sectional Population-Based National Survey

Hubungan antara Rasionalitas Penggunaan Antihipertensi terhadap Keberhasilan Terapi Pasien Hipertensi di RSND Semarang

Educational Interventions May Promote Better Blood Pressure Control in Russia

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