Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic
OBJECTIVE: To determine the characteristics associated with the dropout of patients followed up in a Brazilian out patient clinic specializing in hypertension. METHODS: Planned prospective cohort study of patients who were prescribed an antihypertensive treatment after an extensive initial evaluatio...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2001-05-01
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000500001 |
| _version_ | 1818196183435182080 |
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| author | Renné Gusmão Busnello Raquel Melchior Carlo Faccin Daniela Vettori Juliano Petter Leila Beltrami Moreira Flávio Danni Fuchs |
| author_facet | Renné Gusmão Busnello Raquel Melchior Carlo Faccin Daniela Vettori Juliano Petter Leila Beltrami Moreira Flávio Danni Fuchs |
| author_sort | Renné Gusmão Busnello |
| collection | DOAJ |
| description | OBJECTIVE: To determine the characteristics associated with the dropout of patients followed up in a Brazilian out patient clinic specializing in hypertension. METHODS: Planned prospective cohort study of patients who were prescribed an antihypertensive treatment after an extensive initial evaluation. The following parameters were analyzed: sex, age, educational level, duration of disease, pressure level used for classifying the patient, previous treatment, physical activity, smoking, alcohol consumption, familial history of hypertension, and lesion in a target organ. RESULTS: We studied 945 hypertensive patients, 533 (56%) of whom dropped out of the follow-up. The mean age was 52.3±12.9 years. The highest probabilities of dropout of the follow-up were associated with current smoking, relative risk of 1.46 (1.04-2.06); educational level equal to or below 5 years of schooling, relative risk of 1.52 (1.11-2.08); and hypertension duration below 5 years, relative risk of 1.78 (1.28-2.48). Age increase was associated with a higher probability of follow-up with a relative risk of 0.98 (0.97-0.99). CONCLUSION: We identified a group at risk for dropping out the follow-up, which comprised patients with a lower educational level, a recent diagnosis of hypertension, and who were smokers. We think that measures assuring adherence to treatment should be directed to this group of patients. |
| first_indexed | 2024-12-12T01:30:02Z |
| format | Article |
| id | doaj.art-f3bea716371e442a82f960ee5d91dccf |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-12T01:30:02Z |
| publishDate | 2001-05-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-f3bea716371e442a82f960ee5d91dccf2022-12-22T00:43:00ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702001-05-0176535235410.1590/S0066-782X2001000500001Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinicRenné Gusmão BusnelloRaquel MelchiorCarlo FaccinDaniela VettoriJuliano PetterLeila Beltrami MoreiraFlávio Danni FuchsOBJECTIVE: To determine the characteristics associated with the dropout of patients followed up in a Brazilian out patient clinic specializing in hypertension. METHODS: Planned prospective cohort study of patients who were prescribed an antihypertensive treatment after an extensive initial evaluation. The following parameters were analyzed: sex, age, educational level, duration of disease, pressure level used for classifying the patient, previous treatment, physical activity, smoking, alcohol consumption, familial history of hypertension, and lesion in a target organ. RESULTS: We studied 945 hypertensive patients, 533 (56%) of whom dropped out of the follow-up. The mean age was 52.3±12.9 years. The highest probabilities of dropout of the follow-up were associated with current smoking, relative risk of 1.46 (1.04-2.06); educational level equal to or below 5 years of schooling, relative risk of 1.52 (1.11-2.08); and hypertension duration below 5 years, relative risk of 1.78 (1.28-2.48). Age increase was associated with a higher probability of follow-up with a relative risk of 0.98 (0.97-0.99). CONCLUSION: We identified a group at risk for dropping out the follow-up, which comprised patients with a lower educational level, a recent diagnosis of hypertension, and who were smokers. We think that measures assuring adherence to treatment should be directed to this group of patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000500001systemic hypertensiondropouttreatment |
| spellingShingle | Renné Gusmão Busnello Raquel Melchior Carlo Faccin Daniela Vettori Juliano Petter Leila Beltrami Moreira Flávio Danni Fuchs Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic Arquivos Brasileiros de Cardiologia systemic hypertension dropout treatment |
| title | Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic |
| title_full | Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic |
| title_fullStr | Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic |
| title_full_unstemmed | Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic |
| title_short | Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic |
| title_sort | characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic |
| topic | systemic hypertension dropout treatment |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000500001 |
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