Hypertension treatment and control rates: chart review in an academic family medicine clinic.
Can Fam Physician
; 55(7): 735-41, 2009 Jul.
Article
em En
| MEDLINE
| ID: mdl-19602664
ABSTRACT
OBJECTIVE:
To characterize hypertension management in an academic family medicine clinic.DESIGN:
Cross-sectional chart review.SETTING:
Academic family medicine clinic in Edmonton, Alta.PARTICIPANTS:
A total of 210 patients with 1 or more visits for hypertension during the previous 3 years. MAIN OUTCOMEMEASURES:
Patient characteristics, current antihypertensive therapies, most recent blood pressure measurements, and compelling indications according to the 2006 Canadian Hypertension Education Program recommendations.RESULTS:
A total of 185 subjects (88%) were prescribed antihypertensive medications, and 89 (42%) had controlled hypertension. Younger subjects, people with diabetes, and people not receiving antihypertensive medication therapy appeared less likely to have controlled hypertension. There were 76 subjects (36%) prescribed 1 antihypertensive medication, 65 subjects (31%) prescribed 2 antihypertensive medications, and 44 (21%) prescribed 3 or more antihypertensive medications. Angiotensin-converting enzyme inhibitors were prescribed for 51% of the subjects, diuretics for 47%, beta-blockers for 27%, calcium channel blockers for 23%, angiotensin receptor blockers for 20%, and alpha-blockers for 1%.CONCLUSION:
Hypertension treatment and control rates in this academic family medicine clinic appear to be better than those in the general population. Following the principles of a continuous quality improvement process, this information will serve as an important foundation for identifying areas to improve hypertension management in the clinic.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Medicina de Família e Comunidade
/
Hipertensão
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article