Time to Achieve First Blood Pressure Control After Diagnosis Among Hypertensive Patients at Primary Health Care Clinics: A Preliminary Study
Time to Achieve First Blood Pressure Control After Diagnosis Among Hypertensive Patients at Primary Health Care Clinics: A Preliminary Study
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DOI：
10.1177/1010539512472361
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发表时间：
2015-03-01
影响因子：
2.5
通讯作者：
Muksan, Norliza
中科院分区：
文献类型：
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作者：
Cheong, Ai Theng;Said, Salmiah Mohd;Muksan, Norliza
本研究旨在探讨高血压诊断后首次实现血压（BP）控制的持续时间。这是一项针对初级卫生保健诊所 195 名高血压患者（年龄 >= 18 岁）记录的回顾性队列研究。首次实现血压控制的中位时间为 7.2 个月（95% 置信区间 [CI] = 4.99-9.35）。 Cox 比例风险回归结果显示，与男性患者相比，女性患者实现血压控制的可能性高出 1.5 倍（风险比 [HR] = 1.50，95% CI 1.09-2.09，P =.013）。与非药物治疗相比，采用单一疗法的患者实现血压控制的可能性是非药物治疗患者的 2 倍（HR = 2.09，95% CI = 1.39-3.13，P < 0.001），而使用 2 种药物的患者实现血压控制的可能性是非药物治疗的 3.5 倍（HR = 3.49，95% CI = 1.65-7.40，P = 0.001）。实现血压控制的中位时间比推荐时间长。医生可能需要考虑尽早开始药物治疗，并对男性患者进行更积极的高血压治疗。
This study aimed to examine the duration to achieve first blood pressure (BP) control after the diagnosis of hypertension. This was a retrospective cohort study on 195 hypertensive patients' (age >= 18 years) records from a primary health care clinic. The median time to achieve first BP control was 7.2 months (95% confidence interval [CI] = 4.99-9.35). Cox proportional hazards regression results showed female patients were 1.5 times more likely to achieve BP control when compared with male patients (hazard ratio [HR] = 1.50, 95% CI 1.09-2.09, P =.013). Those with monotherapy were 2 times more likely (HR = 2.09, 95% CI = 1.39-3.13, P < 0.001) and those on 2 drugs were 3.5 times more likely (HR = 3.49, 95% CI = 1.65-7.40, P =.001) to achieve BP control than those with nonpharmacological treatment. The median time to achieve BP control was longer than the recommended time. Doctors may need to consider starting the pharmacological treatment early and be more aggressive in hypertensive management for male patients.