• 作者：J.L. Llisterri Caro^a ; ^{jllisterric@medynet.com} ; G.C. Rodrí ; guez Roca^b ; F.J. Alonso Moreno^c ; V. Barrios Alonso^d ; J.R. Banegas Banegas^e ; D. Gonzá ; lez-Segura Alsina^f ; M.A. Prieto Dí ; az^g ; S. Lou Arnal^h ; J.A. Divisó ; n Garroteⁱ ; T. Sá ; nchez Ruiz^j ; R.L. Durá ; Belinchó ; n^k ; J.A. Santos Rodrí ; guez^l ; en representació ; n del Grupo de Trabajo de Hipertensió ; n Arterial de la Sociedad Espa&ntilde ; ola de Mé ; dicos de Atenció ; n Primaria (Grupo HTA/SEMERGEN) y de los investigadores del Estudio PRESCAP 2006
• 关键词：Hipertensió ; n arterial ; Control ; Atenció ; n primaria ; Espa&ntilde ; a
• 刊名：Hipertensi贸n y Riesgo Vascular
• 出版年：2009
• 期刊代码：pca183_18891837
• 类别：med
• 出版时间：November-December 2009
• 卷：26
• 期：6
• 页码：257-265
• 文件大小：251 K

Objectives

Discuss the evolution of blood pressure (BP) control grade in a large sample of Spanish hypertensive patients in the period of 2002鈥?006.

Material and methods

The PRESCAP were cross-sectional and multicenter studies designed to calculate prevalences that were conducted in 2002 and 2006 using the same methodology in similar populations attending in primary care (PC). They included patients 鈮?8 years diagnosed of high blood pressure (HBP) who received anti-hypertensive drug treatment. Good control of HBP was considered as BP<140 and<90 mmHg in general (<130 and<80 mmHg in patients with diabetes, nephropathy or cardiovascular disease). A descriptive statistical study and comparison of means and percentages with the SPSS version 15.0 were made.

Results

A total of 12,754 patients (57.2%women) with mean age of 63.3卤10.8 years were included in PRESCAP 2002 and 10,520 (53.7%women) with a mean age of 64.6卤11.3 years in PRESCAP 2006. In the year 2002, control of systolic BP (SBP) and diastolic BP (DB) of 36.1%(95%CI, 35.2鈥?6.9) was observed and, in 2006, of 41.4%(95%CI, 40.5鈥?2.4). The percentage of diabetic patients with controlled BP was 9.1%(95%CI, 8.0鈥?0.2) in 2002 and 15.1%(95%CI, 13.8鈥?6.5) in 2006.

In the PRESCAP 2002, 56.0%received antihypertensive monotherapy, 35.6%combinations of two drugs and 8.4%three or more drugs, and in the PRESCAP 2006 these percentages were 44.4%, 41.1%and 14.5%, respectively.

Conclusions

The control grade of HBP in Spain improved in the period of 2002鈥?006. The factors that may have had an influence in these results are the extensive amount of bibliography generated during this period on the need to achieve adequate control of BP and the change in the prescription profile of the PC physician, which indicates a greater percentage of combinations of antihypertensive drugs.