Choice of first antihypertensive--are existing guidelines ignored?
Br J Clin Pharmacol
; 64(6): 722-5, 2007 Dec.
Article
in En
| MEDLINE
| ID: mdl-17953721
ABSTRACT
AIMS:
To determine adherence to hypertension guidelines in relation to age and diabetes.METHODS:
The Irish HSE-PCRS prescribing database identified patients initiating antihypertensive monotherapy in 2005. Logistic regression predicted the likelihood of therapy according to guidelines.RESULTS:
The odds ratio (OR) of receiving therapies according to the guideline recommendations in those <55 years vs. > or =55 years was 1.31 (95% CI 1.26, 1.37). Diabetics were more likely than nondiabetics to receive antihypertensives other than beta-adrenoceptor blockers (OR 2.97, 95% CI 2.74, 3.21).CONCLUSIONS:
Our findings show some adherence to the guidelines in relation to age but selective prescribing of antihypertensives for diabetics.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Choice Behavior
/
Practice Guidelines as Topic
/
Guideline Adherence
/
Antihypertensive Agents
Type of study:
Guideline
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Br J Clin Pharmacol
Year:
2007
Document type:
Article
Affiliation country:
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM