[Severe hypertension: definition and patients profiles]. / Définition et profil des patients ayant une hypertension artéirielle sévere.
Rev Prat
; 63(5): 672-6, 2013 May.
Article
em Fr
| MEDLINE
| ID: mdl-23789495
ABSTRACT
Severe arterial hypertension gathers relatively different clinical situations explained by the heterogeneity of the definitions of this clinical setting. From a medical point of view, severe hypertension is a short course situation defined by very high values of blood pressure corresponding to grade 3 hypertension. In France, until 2011, the social security also included in the definition of severe HTA chronic situations characterized by moderate blood pressure values requiring at least triple anthihypertensive therapies associated with a clinical or infraclinical target organ damages. These clinical profiles, much more frequent than grade 3 hypertension, allowed the full reimbursement of care costs for these patients. In France, it is estimated that 10% of hypertensive patients present a severe form with an annual incidence of 50,000 patients. The patients with severe hypertension have an increased cardiovascular morbidity justifying a closer clinical monitoring. From an economic point of view, these severe forms of hypertension have a higher cost of care, explained primarily by a more frequent need of specialized referrals, radiological exams and hospitalizations. This excess cost justified the existence of a full coverage of induced costs by the social security, since the incidence of severe hypertension is more frequent in the low social categories, and in patients with economic fragility.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hipertensão Maligna
Tipo de estudo:
Health_technology_assessment
Limite:
Humans
Idioma:
Fr
Revista:
Rev Prat
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
França