Target blood pressure attainment with antihypertensive therapy in Swiss primary care.

Details

Serval ID
serval:BIB_93D3C9B0AEE3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Target blood pressure attainment with antihypertensive therapy in Swiss primary care.
Journal
Blood Pressure
Author(s)
Hendrik Schäfer H., Sudano I., Theus G.R., Noll G., Burnier M.
ISSN
1651-1999 (Electronic)
ISSN-L
0803-7051
Publication state
Published
Issued date
02/2012
Volume
21
Number
4
Pages
211-219
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Introduction: The control of high blood pressure (BP) remains insufficient in developed as well as in developing countries. We conducted a cross-sectional survey to investigate the management of hypertension and the achievement of target BPs in a large population of hypertensive patients treated by Swiss primary care physicians. Methods. Data from 4594 hypertensive patients were collected and assessed for demographic data, mode of treatment and BP achievements for the overall population and for high-risk patients such as diabetics and patients with impaired renal function (CKD patients). Furthermore, we analysed the achieved BP in patients receiving single pill combinations or dual free combinations for the three most commonly prescribed substances. Results. In this large patient population, 84% of patients were receiving an antihypertensive treatment of which 54% showed BP control (< 140/90 mmHg or < 130/80 mmHg for diabetics and patients with CKD). Considering the higher BP target in the elderly, 60.6% of treated patients were on target. In contrast, 28.8% of treated diabetics and 29.7% of patients with impaired renal function met BP goals. Diuretics and blockers of the renin-angiotensin system were the most commonly prescribed substances. High-risk patients and patients at advanced age (≥ 80 years) received dual free combination more frequently than younger patients. The use of diuretics was particularly high because of the prescription of single pill formulations. Differences in the pattern of drug prescription were found according to the linguistic areas. Conclusion. The control of hypertension in the Swiss hypertensive population is relatively high but still insufficient particularly among high cardiovascular risk patients such as diabetics and patients with impaired renal function. A further improvement of BP control could perhaps be achieved with a greater use of single pill combinations particularly in patients with complicated hypertension.
Pubmed
Web of science
Create date
24/07/2012 14:53
Last modification date
20/08/2019 14:56
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