Naslov
Level of hypertension control: comparison of a rural and urban family practice centre in South Croatia

Autori
Čikara, Anita ; Pavličević, Ivančica ; Perić, Irena

Izvornik
Wiener klinische Wochenschrift (0043-5325) 125 (2013), 7/8; 173-179

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
hypertension ; cardiovascular risks ; therapy ; control ; normotension

Sažetak
Due to its frequency and poor management, arterial hypertension is a serious public health problem. We compared hypertension control between rural and urban environment over 5 years. Initial hypothesis: arterial pressure control is better in urban (Split) than in rural (Trilj) environment. Historic prospective study conducted in two family medicine outpatient clinics. Data for 2005, 2006, and 2010 were analyzed. 117 subjects diagnosed with arterial hypertension in 2005 were examined: 66 in a rural and 51 in urban outpatient clinic. Their average age was 60.92±10.03 (range 30-82 years). Blood pressure records at the onset of the study, the first, and fifth year of treatment, risk factors and therapy were analyzed. T test and χ²-test were used in statistical data analysis. In the urban clinic, more subjects were smokers, had positive family history, were overweight, and had registered hyperlipidemia. Initial mean arterial pressure readings were similar in both clinics. Decrease was recorded in the following five years. During the time of this study the use of ACE inhibitors (Split by 45%, Trilj by 133%) and calcium channel blockers (Split by 76, 9%, Trilj by 525%) was increased. The number of patients receiving monotherapy was reduced. Better arterial pressure control was recorded in the urban clinic, where, after five years, despite increased frequency of additional risk factors, the number of normotensive patients was higher than in the rural one. Hypertension control in both settings was still poor. Hypertonic patients should participate actively in treatment.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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