Diagnostic précoce dans la schizophrénie : une mission pour les médecins généralistes ?

Galudec, Mickaël Le; Stéphan, Florian; Mascret, Renaud; Bourgin, Julie; Walter, Michel

doi:10.1016/j.lpm.2010.09.015

Cited by 12 publications

(2 citation statements)

References 28 publications

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“…The exceptional levels of hypertension treatment may be explained by improved public-health messaging on the dangers of hypertension from the Uganda Ministry of Health in Wakiso District, which is often the first recipient of health promotion efforts [ 32 ]. The poor control of hypertension despite treatment is comparable to that in many African countries and may be related to health system related deficiencies which are common in African settings [ 33 , 34 ]. Because control to target is the ultimate predictor of outcomes for hypertensive patients, these findings call for a concerted effort to improve these statistics in sub-Saharan Africa.…”

Section: Discussionmentioning

confidence: 99%

Determinants of hypertension in a young adult Ugandan population in epidemiological transition—the MEPI-CVD survey

et al. 2015

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BackgroundHigh blood pressure is the principal risk factor for stroke, heart failure and kidney failure in the young population in Africa. Control of hypertension is associated with a larger reduction in morbidity and mortality in younger populations compared with the elderly; however, blood pressure control efforts in the young are hampered by scarcity of data on prevalence and factors influencing awareness, treatment and control of hypertension. We aimed to describe the prevalence of prehypertension and hypertension among young adults in a peri-urban district of Uganda and the factors associated with occurrence of hypertension in this population.MethodsThis cross-sectional study was conducted between August, 2012 and May 2013 in Wakiso district, a suburban district that that encircles Kampala, Uganda’s capital city. We collected data on socio-demographic characteristics and hypertension status using a modified STEPs questionnaire from 3685 subjects aged 18–40 years selected by multistage cluster sampling. Blood pressure and anthropometric measurements were performed using standardized protocols. Fasting blood sugar and HIV status were determined using a venous blood sample. Association between hypertension status and various biosocial factors was assessed using logistic regression.ResultsThe overall prevalence of hypertension was 15 % (95 % CI 14.2 – 19.6) and 40 % were pre-hypertensive. Among the 553 hypertensive participants, 76 (13.7 %) were aware of their diagnosis and all these participants had initiated therapy with target blood pressure control attained in 20 % of treated subjects. Hypertension was significantly associated with the older age-group, male sex and obesity. There was a significantly lower prevalence of hypertension among participants with HIV OR 0.6 (95 % CI 0.4–0.8, P = 0.007).ConclusionThere is a high prevalence of high blood pressure in this young periurban population of Uganda with sub-optimal diagnosis and control. There is previously undocumented high rate of treatment, a unique finding that may be exploited to drive efforts to control hypertension. Specific programs for early diagnosis and treatment of hypertension among the young should be developed to improve control of hypertension. The relationship between HIV infection and blood pressure requires further clarification by longitudinal studies.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-2146-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Determinants of hypertension in a young adult Ugandan population in epidemiological transition—the MEPI-CVD survey

et al. 2015

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“…Le Galudec et al notaient que la DPNT dépend également de facteurs locaux dont de l'offre et la trajectoire de soins. En tout les cas, les auteurs des études sur cette question s'accordent à dire qu'une DPNT longue est un facteur de mauvais pronostic y compris dans les pays en voie de développement [3,8]. Cela justifie les efforts de développement de programme d'intervention précoce de prise en charge des psychoses.…”

Section: Introductionunclassified

Durée de psychose non traitée en Afrique : cas des patients hospitalisés à l'Hôpital national de Niamey

Maiga¹,

Seyni²,

Sidikou³

et al. 2013

l'Information Psychiatrique

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Distribution électronique Cairn.info pour John Libbey Eurotext. © John Libbey Eurotext. Tous droits réservés pour tous pays.La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

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Evaluation of GPs diagnostic knowledge and treatment practice in detection and treatment of early schizophrenia: a French postal survey in Brittany

Galudec

Cornily

Garlantézec

et al. 2013

Soc Psychiatry Psychiatr Epidemiol

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Diagnostic précoce dans la schizophrénie : une mission pour les médecins généralistes ?

Cited by 12 publications

References 28 publications

Determinants of hypertension in a young adult Ugandan population in epidemiological transition—the MEPI-CVD survey

Determinants of hypertension in a young adult Ugandan population in epidemiological transition—the MEPI-CVD survey

Durée de psychose non traitée en Afrique : cas des patients hospitalisés à l'Hôpital national de Niamey

Evaluation of GPs diagnostic knowledge and treatment practice in detection and treatment of early schizophrenia: a French postal survey in Brittany

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