Portal de Periódicos da CAPES

Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

Blood pressure control of hypertensive patients followed in a high complexity clinic and associated variables

2021; Sociedade Brasileira de Nefrologia; Volume: 43; Issue: 2 Linguagem: Inglês

10.1590/2175-8239-jbn-2020-0133

2175-8239

Juliana Chaves Coelho, Mayra Cristina da Luz Pádua Guimarães, Cássia Lima de Campos, Carime Farah Flórido, Giovânio Vieira da Silva, Ângela Maria Geraldo Pierin,

Sodium Intake and Health

Arterial hypertension is a disease that has a high impact on cardiovascular mortality and morbidity; however, it is still insufficiently controlled.To assess hypertension control in patients seen at a specialized clinic and to identify associated variables.Cross-sectional study involving the analysis of medical records from 782 patients treated in a highly complex outpatient clinic. Inclusion criteria: age ≥18 years, diagnosed with hypertension, in treatment ≥6 months. Patients with secondary hypertension (104) and incomplete data (64) were excluded. The main outcome was blood pressure control (systolic <140 and diastolic <90 mmHg). The independent variables studied were: sociodemographic and clinical characteristics (use of drugs, comorbidities and laboratory tests). Pearson's χ2 tests, Fisher's test, Student's t and Wilcoxon-Mann-Whitney tests were performed in the bivariate analysis and logistic regression in the multiple analyses, adopting p≤0.05.The prevalence of hypertensive control was 51.1%. It was associated with a lack of control: body mass index (OR = 1.038; 95% CI = 1.008 - 1.071), history of stroke (OR = 0.453; 95% CI = 0.245 - 0.821), left ventricular hypertrophy (OR = 1.765; 95% CI = 1.052 - 3.011), and number of medications (OR = 1.082; 95% CI = 1.033 - 1.136).About half of the hypertensive patients had their blood pressure controlled; clinical variables and target organ damage were associated with the control.