Treatment and control of hypertension in Turkish population: a survey on high blood pressure in primary care (the TURKSAHA study)
Although the management and the control rates of hypertension are generally low throughout the world, there are substantial differences between the countries. The aim of this study was to determine the control rate of blood pressure and the characteristics of the patients who have been admitted to p...
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| Veröffentlicht in: | Journal of human hypertension 2006-05, Vol.20 (5), p.355-361 |
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| creator | Abaci, A Oguz, A Kozan, O Toprak, N Senocak, H Deger, N Sahin, M Sur, H Fici, F Erol, C |
| description | Although the management and the control rates of hypertension are generally low throughout the world, there are substantial differences between the countries. The aim of this study was to determine the control rate of blood pressure and the characteristics of the patients who have been admitted to primary care units in Turkey. Our study included 16 270 patients aged above 18 years who were diagnosed as hypertensive in representative nationwide sample of 1000 primary care units in Turkey. The mean age of the patients was 60±11 years (60.1% women). Of 16 270 patients, 15 187 (93.3%) were on an antihypertensive treatment, whereas 1083 (6.7%) were receiving no treatment. The patients who were women, diabetic, smoker, obese, and those who had a concomitant cardiovascular disease (CVD) had a higher rate of antihypertensive treatment. Of 15 187 treated patients, 4912 (30.2%) had a controlled systolic blood pressure, 7063 (43.4%) a controlled diastolic blood pressure, and in 3931 (24.2%), both were under control. A logistic regression analysis demonstrated that age (OR 1.33), diabetes (OR 4.96), body mass index (OR 1.41) and the presence of a CVD (OR 1.19) were predictors for blood pressure being under control. The blood pressure control rates ranged between 16.6 and 30.5% among seven geographical regions. In the primary care units in Turkey, the blood pressure control rate is consistently low in treated hypertensive patients. In addition, there are differences between the geographical regions in both the proportion of those receiving medications and the blood pressure control rates. |
| doi_str_mv | 10.1038/sj.jhh.1001995 |
| format | Article |
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The aim of this study was to determine the control rate of blood pressure and the characteristics of the patients who have been admitted to primary care units in Turkey. Our study included 16 270 patients aged above 18 years who were diagnosed as hypertensive in representative nationwide sample of 1000 primary care units in Turkey. The mean age of the patients was 60±11 years (60.1% women). Of 16 270 patients, 15 187 (93.3%) were on an antihypertensive treatment, whereas 1083 (6.7%) were receiving no treatment. The patients who were women, diabetic, smoker, obese, and those who had a concomitant cardiovascular disease (CVD) had a higher rate of antihypertensive treatment. Of 15 187 treated patients, 4912 (30.2%) had a controlled systolic blood pressure, 7063 (43.4%) a controlled diastolic blood pressure, and in 3931 (24.2%), both were under control. A logistic regression analysis demonstrated that age (OR 1.33), diabetes (OR 4.96), body mass index (OR 1.41) and the presence of a CVD (OR 1.19) were predictors for blood pressure being under control. The blood pressure control rates ranged between 16.6 and 30.5% among seven geographical regions. In the primary care units in Turkey, the blood pressure control rate is consistently low in treated hypertensive patients. In addition, there are differences between the geographical regions in both the proportion of those receiving medications and the blood pressure control rates.</description><identifier>ISSN: 0950-9240</identifier><identifier>EISSN: 1476-5527</identifier><identifier>DOI: 10.1038/sj.jhh.1001995</identifier><identifier>PMID: 16511506</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Aged ; Antihypertensive agents ; Antihypertensive Agents - therapeutic use ; Antihypertensives ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Body Mass Index ; Cardiology. Vascular system ; Cardiovascular diseases ; Cardiovascular system ; Care and treatment ; Chi-Square Distribution ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Control ; Cross-Sectional Studies ; Diabetes mellitus ; Epidemiology ; Female ; Health Administration ; Humans ; Hypertension ; Hypertension - epidemiology ; Hypertension - prevention & control ; Logistic Models ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; original-article ; Patients ; Pharmacology. 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The aim of this study was to determine the control rate of blood pressure and the characteristics of the patients who have been admitted to primary care units in Turkey. Our study included 16 270 patients aged above 18 years who were diagnosed as hypertensive in representative nationwide sample of 1000 primary care units in Turkey. The mean age of the patients was 60±11 years (60.1% women). Of 16 270 patients, 15 187 (93.3%) were on an antihypertensive treatment, whereas 1083 (6.7%) were receiving no treatment. The patients who were women, diabetic, smoker, obese, and those who had a concomitant cardiovascular disease (CVD) had a higher rate of antihypertensive treatment. Of 15 187 treated patients, 4912 (30.2%) had a controlled systolic blood pressure, 7063 (43.4%) a controlled diastolic blood pressure, and in 3931 (24.2%), both were under control. A logistic regression analysis demonstrated that age (OR 1.33), diabetes (OR 4.96), body mass index (OR 1.41) and the presence of a CVD (OR 1.19) were predictors for blood pressure being under control. The blood pressure control rates ranged between 16.6 and 30.5% among seven geographical regions. In the primary care units in Turkey, the blood pressure control rate is consistently low in treated hypertensive patients. In addition, there are differences between the geographical regions in both the proportion of those receiving medications and the blood pressure control rates.</description><subject>Adult</subject><subject>Aged</subject><subject>Antihypertensive agents</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Antihypertensives</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood pressure</subject><subject>Body Mass Index</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular system</subject><subject>Care and treatment</subject><subject>Chi-Square Distribution</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Control</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes mellitus</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Administration</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - prevention & control</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>original-article</subject><subject>Patients</subject><subject>Pharmacology. 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Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood pressure</topic><topic>Body Mass Index</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular system</topic><topic>Care and treatment</topic><topic>Chi-Square Distribution</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Control</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes mellitus</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Administration</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - prevention & control</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>original-article</topic><topic>Patients</topic><topic>Pharmacology. 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A logistic regression analysis demonstrated that age (OR 1.33), diabetes (OR 4.96), body mass index (OR 1.41) and the presence of a CVD (OR 1.19) were predictors for blood pressure being under control. The blood pressure control rates ranged between 16.6 and 30.5% among seven geographical regions. In the primary care units in Turkey, the blood pressure control rate is consistently low in treated hypertensive patients. In addition, there are differences between the geographical regions in both the proportion of those receiving medications and the blood pressure control rates.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16511506</pmid><doi>10.1038/sj.jhh.1001995</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of human hypertension, 2006-05, Vol.20 (5), p.355-361 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Antihypertensive agents Antihypertensive Agents - therapeutic use Antihypertensives Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood pressure Body Mass Index Cardiology. Vascular system Cardiovascular diseases Cardiovascular system Care and treatment Chi-Square Distribution Clinical manifestations. Epidemiology. Investigative techniques. Etiology Control Cross-Sectional Studies Diabetes mellitus Epidemiology Female Health Administration Humans Hypertension Hypertension - epidemiology Hypertension - prevention & control Logistic Models Male Medical sciences Medicine Medicine & Public Health Middle Aged original-article Patients Pharmacology. Drug treatments Predictive Value of Tests Primary care Primary Health Care Public Health Risk Factors Surveys Surveys and Questionnaires Turkey - epidemiology |
| title | Treatment and control of hypertension in Turkish population: a survey on high blood pressure in primary care (the TURKSAHA study) |
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