PDF(Pubmed)
Abstract：
UNASSIGNED: Hypertension (HT) remains the leading cause of death worldwide. In Brazil it is estimated that 35% of the adult population has HT and that about 20% of these have blood pressure values within the targets recommended for the reduction of cardiovascular risk. There are some data that point to different control rates in patients treated by cardiologists in public and private referral center and this is an important point to be investigated and discussed.
UNASSIGNED: To compare sociodemographic characteristics, body mass index (BMI), antihypertensive (AH) drugs, blood pressure (BP) and control rate in public (PURC) and private (PRRC) referral centers.
UNASSIGNED: A cross-sectional multicenter study that analyzed data from hypertensive patients assisted by the PURC (one in Midwest Region and other in Northeast region) and PRRC (same distribution). Variables analyzed: sex, age, BMI, classes, number of AH used and mean values of systolic and diastolic BP by office measurement and home blood pressure measurement (HBPM). Uncontrolled hypertension (HT) phenotypes and BP control rates were assessed. Descriptive statistics and χ2 tests or unpaired t-tests were performed. A significance level of p < 0.05 was considered.
UNASSIGNED: A predominantly female (58.9%) sample of 2.956 patients and a higher prevalence of obesity in PURC (p < 0.001) and overweight in PRRC (p < 0.001). The mean AH used was 2.9 ± 1.5 for PURC and 1.4 ± 0.7 for PRRC (p < 0.001). Mean systolic and diastolic BP values were higher in PURC as were rates of uncontrolled HT of 67.8% and 47.6% (p < 0.001) by office measurement and 60.4% and 35.3% (p < 0.001) by HBPM in PURC and PRRC, respectively.
UNASSIGNED: Patients with HT had a higher prevalence of obesity in the PURC and used almost twice as many AH drugs. BP control rates are worse in the PURC, on average 15.3 mmHg and 12.1 mmHg higher than in the PRRC by office measurement.
UNASSIGNED: To compare sociodemographic characteristics, body mass index (BMI), antihypertensive (AH) drugs, blood pressure (BP) and control rate in public (PURC) and private (PRRC) referral centers.
UNASSIGNED: A cross-sectional multicenter study that analyzed data from hypertensive patients assisted by the PURC (one in Midwest Region and other in Northeast region) and PRRC (same distribution). Variables analyzed: sex, age, BMI, classes, number of AH used and mean values of systolic and diastolic BP by office measurement and home blood pressure measurement (HBPM). Uncontrolled hypertension (HT) phenotypes and BP control rates were assessed. Descriptive statistics and χ2 tests or unpaired t-tests were performed. A significance level of p < 0.05 was considered.
UNASSIGNED: A predominantly female (58.9%) sample of 2.956 patients and a higher prevalence of obesity in PURC (p < 0.001) and overweight in PRRC (p < 0.001). The mean AH used was 2.9 ± 1.5 for PURC and 1.4 ± 0.7 for PRRC (p < 0.001). Mean systolic and diastolic BP values were higher in PURC as were rates of uncontrolled HT of 67.8% and 47.6% (p < 0.001) by office measurement and 60.4% and 35.3% (p < 0.001) by HBPM in PURC and PRRC, respectively.
UNASSIGNED: Patients with HT had a higher prevalence of obesity in the PURC and used almost twice as many AH drugs. BP control rates are worse in the PURC, on average 15.3 mmHg and 12.1 mmHg higher than in the PRRC by office measurement.
摘要：
■高血压（HT）仍然是全球死亡的主要原因。在巴西，据估计有35％的成年人患有HT，其中约20％的血压值在建议降低心血管风险的目标范围内。有一些数据表明公共和私人转诊中心心脏病专家治疗的患者控制率不同，这是需要调查和讨论的重要问题。
■为了比较社会人口统计学特征，体重指数（BMI），抗高血压（AH）药物，公共（PURC）和私人（PRRC）转诊中心的血压（BP）和控制率。
■一项横断面多中心研究，分析了PURC（一个在中西部地区，另一个在东北地区）和PRRC（相同分布）辅助的高血压患者的数据。分析的变量：性别，年龄,BMI,类,通过办公室测量和家庭血压测量（HBPM），使用的AH数量以及收缩压和舒张压BP的平均值。评估未控制的高血压（HT）表型和BP控制率。进行描述性统计和χ2检验或非配对t检验。认为P<0.05的显著性水平。
■以女性为主（58.9％）的2.956名患者样本，PURC中肥胖（p<0.001）和PRRC中超重（p<0.001）的患病率较高。PURC使用的平均AH为2.9±1.5,PRRC为1.4±0.7(p<0.001)。PURC的平均收缩压和舒张压值均较高，办公室测量的不受控制的HT发生率分别为67.8％和47.6％（p<0.001），而PURC和PRRC的HBPM则为60.4％和35.3％（p<0.001）。分别。
■在PURC中，HT患者的肥胖患病率更高，并且使用了几乎两倍的AH药物。PURC的血压控制率更差，按办公室测量，平均比PRRC高15.3mmHg和12.1mmHg。
■为了比较社会人口统计学特征，体重指数（BMI），抗高血压（AH）药物，公共（PURC）和私人（PRRC）转诊中心的血压（BP）和控制率。
■一项横断面多中心研究，分析了PURC（一个在中西部地区，另一个在东北地区）和PRRC（相同分布）辅助的高血压患者的数据。分析的变量：性别，年龄,BMI,类,通过办公室测量和家庭血压测量（HBPM），使用的AH数量以及收缩压和舒张压BP的平均值。评估未控制的高血压（HT）表型和BP控制率。进行描述性统计和χ2检验或非配对t检验。认为P<0.05的显著性水平。
■以女性为主（58.9％）的2.956名患者样本，PURC中肥胖（p<0.001）和PRRC中超重（p<0.001）的患病率较高。PURC使用的平均AH为2.9±1.5,PRRC为1.4±0.7(p<0.001)。PURC的平均收缩压和舒张压值均较高，办公室测量的不受控制的HT发生率分别为67.8％和47.6％（p<0.001），而PURC和PRRC的HBPM则为60.4％和35.3％（p<0.001）。分别。
■在PURC中，HT患者的肥胖患病率更高，并且使用了几乎两倍的AH药物。PURC的血压控制率更差，按办公室测量，平均比PRRC高15.3mmHg和12.1mmHg。
