Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study
This study aimed to examine the duration to achieve first blood pressure (BP) control after the diagnosis of hypertension. This was a retrospective cohort study on 195 hypertensive patients’ (age ≥18 years) records from a primary health care clinic. The median time to achieve first BP control was 7....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Sage Publications
2015
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| Online Access: | http://psasir.upm.edu.my/id/eprint/46736/1/Time%20to%20achieve%20first%20blood%20pressure%20control%20after%20diagnosis%20among%20hypertensive%20patients%20at%20primary%20health%20care%20clinics%20a%20preliminary%20study.pdf |
| _version_ | 1796974721658519552 |
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| author | Cheong, Ai Theng Md Said, Salmiah Muksan, Norliza |
| author_facet | Cheong, Ai Theng Md Said, Salmiah Muksan, Norliza |
| author_sort | Cheong, Ai Theng |
| collection | UPM |
| description | This study aimed to examine the duration to achieve first blood pressure (BP) control after the diagnosis of hypertension. This was a retrospective cohort study on 195 hypertensive patients’ (age ≥18 years) records from a primary health care clinic. The median time to achieve first BP control was 7.2 months (95% confidence interval [CI] = 4.99-9.35). Cox proportional hazards regression results showed female patients were 1.5 times more likely to achieve BP control when compared with male patients (hazard ratio [HR] = 1.50, 95% CI 1.09-2.09, P = .013). Those with monotherapy were 2 times more likely (HR = 2.09, 95% CI = 1.39-3.13, P < 0.001) and those on 2 drugs were 3.5 times more likely (HR = 3.49, 95% CI = 1.65-7.40, P = .001) to achieve BP control than those with nonpharmacological treatment. The median time to achieve BP control was longer than the recommended time. Doctors may need to consider starting the pharmacological treatment early and be more aggressive in hypertensive management for male patients. |
| first_indexed | 2024-03-06T09:01:06Z |
| format | Article |
| id | upm.eprints-46736 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T09:01:06Z |
| publishDate | 2015 |
| publisher | Sage Publications |
| record_format | dspace |
| spelling | upm.eprints-467362018-04-23T01:04:52Z http://psasir.upm.edu.my/id/eprint/46736/ Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study Cheong, Ai Theng Md Said, Salmiah Muksan, Norliza This study aimed to examine the duration to achieve first blood pressure (BP) control after the diagnosis of hypertension. This was a retrospective cohort study on 195 hypertensive patients’ (age ≥18 years) records from a primary health care clinic. The median time to achieve first BP control was 7.2 months (95% confidence interval [CI] = 4.99-9.35). Cox proportional hazards regression results showed female patients were 1.5 times more likely to achieve BP control when compared with male patients (hazard ratio [HR] = 1.50, 95% CI 1.09-2.09, P = .013). Those with monotherapy were 2 times more likely (HR = 2.09, 95% CI = 1.39-3.13, P < 0.001) and those on 2 drugs were 3.5 times more likely (HR = 3.49, 95% CI = 1.65-7.40, P = .001) to achieve BP control than those with nonpharmacological treatment. The median time to achieve BP control was longer than the recommended time. Doctors may need to consider starting the pharmacological treatment early and be more aggressive in hypertensive management for male patients. Sage Publications 2015 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/46736/1/Time%20to%20achieve%20first%20blood%20pressure%20control%20after%20diagnosis%20among%20hypertensive%20patients%20at%20primary%20health%20care%20clinics%20a%20preliminary%20study.pdf Cheong, Ai Theng and Md Said, Salmiah and Muksan, Norliza (2015) Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study. Asia-Pacific Journal of Public Health, 27 (2). pp. 485-494. ISSN 1010-5395; ESSN: 1941-2479 10.1177/1010539512472361 |
| spellingShingle | Cheong, Ai Theng Md Said, Salmiah Muksan, Norliza Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study |
| title | Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study |
| title_full | Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study |
| title_fullStr | Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study |
| title_full_unstemmed | Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study |
| title_short | Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study |
| title_sort | time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics a preliminary study |
| url | http://psasir.upm.edu.my/id/eprint/46736/1/Time%20to%20achieve%20first%20blood%20pressure%20control%20after%20diagnosis%20among%20hypertensive%20patients%20at%20primary%20health%20care%20clinics%20a%20preliminary%20study.pdf |
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