Blood pressure control in hypertensive patients within Family Health Program versus at Primary Healthcare Units: analytical cross-sectional study

Martins, Telma Lima; Atallah, Álvaro Nagib; Silva, Edina Mariko Koga da

doi:10.1590/s1516-31802012000300003

Cited by 7 publications

(10 citation statements)

References 9 publications

(12 reference statements)

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“…Among hypertensives in the Family Health Program 17-19 , the arterial hypertension control rates ranged from 20.0% to 30.7%, and among those being followed up in basic health units, from 30.0% to 53.9% 19-21 . Arterial hypertension control among hypertensives in secondary health care was assessed in 24.4% of the studies, ten being performed at hypertension outpatient clinics 22-31 and one at an internal medicine outpatient clinic 32 .…”

Section: Resultsmentioning

confidence: 99%

“…Other studies have assessed relevant subjects, such as biosocial aspects influencing compliance with antihypertensive treatment, knowledge and beliefs about the disease 19,22,24-27,29 , and health care practices 14,17,20,21,34 . However, extending the knowledge about arterial hypertension control in Brazil, as well as about its determinant factors, is necessary to improve and assess the health care measures proposed by the Brazilian Unified Health Care System.…”

Section: Discussionmentioning

confidence: 99%

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Hypertension Control in Brazilian Publications

Pinho¹,

Pierin²

2013

Arquivos Brasileiros De Cardiologia

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Hypertension is a major public health problem due to its high prevalence and cardiovascular complications. Its treatment is aimed at reducing cardiovascular morbidity and mortality, its goal being to maintain blood pressure levels below 140/90 mm Hg. Hypertension control in Brazil is low, and nationwide rates are unknown. The objective of this review was to provide an overview on hypertension control in Brazil from publications in a database. We identified 45 publications. In population-based studies, the highest control rate (57.6%) was reported in a multicenter study in 100 municipalities and the city of São José do Rio Preto, São Paulo state (52.4%), while the lowest rates (around 10%) were identified in microregions of the Rio Grande do Sul state and in the city of Tubarão, Santa Catarina state. In conclusion, the studies assessed showed a wide variation in hypertension control rates. It is worth noting that the comparison between studies was a major limiting factor, because of the different methods used.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hypertension Control in Brazilian Publications

Pinho¹,

Pierin²

2013

Arquivos Brasileiros De Cardiologia

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“…Souza et al 10 , who evaluated the pressure control of users in 15 Primary Health Care (PHU) of Novo Hamburgo, RS, identified that blood pressure control in hypertensive patients is not satisfactorily achieved and maintained and that women controlled better than men, 37.6% and 25.0%, respectively. Martins et al 11 , also in PHU units, when comparing the control rates of SAH in Family Health Strategy (FHS) and Basic Health Unit (BHU) of Petrópolis, RJ, also identified unsatisfactory controls even for those that obtained better results, BHU 39.2%, while in FHS it was 29.2%. It is speculated that the diversity in the frequencies found occur due to the heterogeneity of the work presented and that the non-relation to the history of AMI occurs because the value of the last systolic blood pressure measures is not capable of reflecting prior blood pressure conditions.…”

Section: Discussionmentioning

confidence: 95%

Factors Associated to the History of Acute Myocardial Infarction in Hypertensive Primary Care Users

Nascimento

Cavalcante

Zarife

et al. 2017

BJMHH

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| Objective:To investigate the factors associated to the history of acute myocardial infarction (AMI) in hypertensive patients attended at Primary Healthcare (PHC) units. Methods: A cross-sectional study was performed in a health district in the city of Salvador, Bahia, between May and September, 2013. Primary data was collected through trained interviewers. The magnitude of the association was estimated using the OR calculation, adopting the CI of 95%. Subsequently, multivariate analyses were carried out using logistic regression. The project was approved by CEP/UNEB (CAAE 09656012.0.0000.0057) and financed by PRO/PET-Saúde, 2012. Results: There were 297 hypertensive patients and, among these, 243 (81.3%) were of the female gender and had average age of 56 years (± 11.54). It was observed that 35 (11.8%) reported having suffered AMI. The risk factors associated the prior AMI were concomitant Diabetes Mellitus (DM) (OR=2.19; CI95% 1.03 -4.68) and not being aware of the existence of health education groups (OR=5.31; CI95% 1. 39 -20.20); while the protection factors were absence of central obesity (OR=0.43; CI95% 0.20 -0.95), taking part in health education groups (OR=0.19; CI95% 0.05 -0.73) and having had an electrocardiogram during the past 06 months (OR= 0.37;92). Conclusion: A high percentage of hypertensive patients with a background of AMI which was associated to the diagnosis of DM, central obesity, not having had periodic electrocardiograms and not having participated in health education groups. Strategies for the promotion of healthcare with the population and outpatient care may be considered as effective actions for the prevention of AMI.

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“…Em Petrópolis, no Rio de Janeiro, foram verificadas as taxas de controle da HAS (PA < 140/90 mmHg) de 250 pacientes acompanhados nas USF e comparadas com 250 pacientes acompanhados nas UBS, com média de idade de 36 ± 14,9 anos. Foi observado melhor controle da PA nos pacientes acompanhados nas UBS (39,23%) quando comparado ao dos pacientes acompanhados nas USF (29,2%) 23 .…”

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Controle da pressão arterial em idosas hipertensas em uma Unidade de Saúde da Família e fatores associados

2016

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Resumo Introdução A hipertensão arterial sistêmica é uma doença crônica de alta prevalência e com baixas taxas de controle. Este estudo objetivou analisar o controle da pressão arterial em idosas hipertensas acompanhadas em uma Unidade de Saúde da Família e os fatores associados. Métodos Estudo transversal, com análise de dados de prontuários de 190 idosas hipertensas. Foram consideradas controladas as pacientes com nível de pressão arterial menor do que 140/90 mmHg. Para a análise estatística, calcularam-se a razão de prevalência e o intervalo de confiança de 95% para a ocorrência de controle ou não da presão arterial, segundo a associação de alguns fatores. As análises multivariadas foram conduzidas por meio de regressão logística. Resultados Das 190 pacientes em acompanhamento, 108 (56,8%) apresentavam a pressão arterial controlada. Na análise de regressão logística, as variáveis possuir mais de 70 anos (p = 0,033) e residir na área mais afastada da unidade de saúde (p = 0,002) estiveram associadas ao não controle da pressão arterial. Conclusão Embora o percentual de controle da pressão arterial seja elevado na população estudada quando comparado com dados da literatura, medidas devem ser implantadas para o aumento desse percentual, para evitar futuras complicações.

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Blood pressure control in hypertensive patients within Family Health Program versus at Primary Healthcare Units: analytical cross-sectional study

Cited by 7 publications

References 9 publications

Hypertension Control in Brazilian Publications

Hypertension Control in Brazilian Publications

Factors Associated to the History of Acute Myocardial Infarction in Hypertensive Primary Care Users

Controle da pressão arterial em idosas hipertensas em uma Unidade de Saúde da Família e fatores associados

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