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[Blood pressure control in Spanish hypertensive patients in Primary Health Care Centres. PRESCAP 2002 Study].

Abstract：

BACKGROUND AND OBJECTIVE:More information is needed on hypertension control in clinical practice, which includes taking at least two blood pressure (BP) readings and taking into account surgery times and previous antihypertensive drug intake. Our study aimed to assess the optimum degree of BP control in a broad sample of Spanish hypertensive patients in primary care and to determine factors associated with a poor control. PATIENTS AND METHOD:Cross-sectional, multicenter study of hypertensive patients aged over 18 years and treated with drugs during the preceeding three months, who were recruited by general practitioners through consecutive sampling in primary care settings throughout Spain over 3 consecutive days. BP measurements were performed in surgery hours (morning and evening) following standardized methods and averaging two consecutive readings. An average BP lower than 140/90 mm Hg (values lower than 130/85 mm Hg in diabetics) was regarded as optimum BP control. RESULTS:12 754 patients were included, mean age 63.3 years (10.8), 57.2% women. 36.1% (95% CI, 35.2-36.9) had good systolic blood pressure (SBP) and diastolic blood pressure (DBP) controls, 39.1% (95% CI, 38.3-40.0) had good SBP control only, and 73.1% (95% CI, 72.3-73.9) had good DBP control only. BP control was significantly (*2, p < 0.001) better during evening than during morning measurements (43.6% vs 37.1%) and in patients who had taken antihypertensive treatment before measurement (37.2%) vs. those who had not taken it (21.0%). Factors such as alcohol consumption, sedentary lifestyle, obesity and age were all associated with poor BP control (Wald's (chi 2, p < 0.001). CONCLUSIONS:The results of the PRESCAP 2002 study indicate that approximately 4 out of 10 hypertensive patients treated pharmacologically by primary health care centers in Spain have optimal BP control. Significant differences were found in the degree of control depending on surgery hours and the previous intake of antihypertensive medication.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Llisterri Caro JL,Rodríguez Roca GC,Alonso Moreno FJ,Lou Arnal S,Divisón Garrote JA,Santos Rodríguez JA,Raber Béjar A,de Castellar Sansó R,Ruilope Urioste LM,Banegas Banegas JR,Grupo de Trabajo de Hipertension Arterial de la Sociedad

doi

10.1016/s0025-7753(04)74183-4

keywords:

subject

Has Abstract

pub_date

2004-02-14 00:00:00

pages

165-71

issue

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(04)74183-4

journal_volume

122

pub_type

杂志文章,多中心研究

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[Blood pressure control in Spanish hypertensive patients in Primary Health Care Centres. PRESCAP 2002 Study].