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Quality of blood pressure monitoring and control in primary care in Trinidad and Tobago - abstract
West Indian med. j ; 44(Suppl. 2): 15, Apr. 1995.
Artigo em Inglês | MedCarib | ID: med-5808
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
This study evaluated the quality of blood pressure (BP) monitoring and control among primary care attenders, aged o30 years, and not diabetic or currently pregnant, in Trinidad and Tobago. Data were collected from 1616 clinic records (92 percent retrieval rate for eligible cases) 1041 attended eighteen government health centres and 575 attended eight private general practitioner (GP) offices. Overall, 1469 (91 percent) patients had BP recorded at some time and 1217 (75 percent) within the previous 12 months. The proportion with no BP measurement was higher for GP patients (19 percent) than for health centre patients (4 percent). Only 73 (5 percent) of patients had BPo160/100 mm Hg and were not treated with drugs, but 164 (10 percent) had BPo140/90 and < 160/100 mm Hg and were not treated with drugs. Patients aged o 65 [Odds Ratio (OR) 3.29 (95 percent Confidence Interval (CI) 1.54 to 7.07)] and patients attending GPs [(OR 2.31 (CI 1.20 to 4.43)] were more likely to have untreated BPo160/100 mm Hg. Among 784 patients treated for hypertension only 143 (18 percent) had BP < 140/90 mm Hg. Advice on non-drug treatment was recorded for only 164 (10 percent) of all patients. Health centres mainly prescribed methyldopa and Brinerdin while GPs prescribed ACE inhibitors and calciun antagonists as well as thiazides and Brinerdin. Most primary care attenders had BP measurements recorded and most patients with hypertension received treatment but control of hypertension in those treated was unsatisfactory, more so for those attending GPs than for those attending health centres (AU)
Assuntos
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar Problema de saúde: Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis Base de dados: MedCarib Assunto principal: Monitorização Ambulatorial da Pressão Arterial Limite: Adulto / Humanos País/Região como assunto: Caribe Inglês / Trinidad e Tobago Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1995 Tipo de documento: Artigo / Congresso e conferência
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar Problema de saúde: Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis Base de dados: MedCarib Assunto principal: Monitorização Ambulatorial da Pressão Arterial Limite: Adulto / Humanos País/Região como assunto: Caribe Inglês / Trinidad e Tobago Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1995 Tipo de documento: Artigo / Congresso e conferência
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