UPM Institutional Repository

Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics: a preliminary study


Citation

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

Abstract

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.


Download File

[img]
Preview
Text (Abstract)
Time to achieve first blood pressure control after diagnosis among hypertensive patients at primary health care clinics a preliminary study.pdf

Download (105kB) | Preview

Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1177/1010539512472361
Publisher: Sage Publications
Keywords: Primary health care; Hypertension; Blood pressure control; Median survival time; Pharmacological treatment
Depositing User: Ms. Nida Hidayati Ghazali
Date Deposited: 23 Apr 2018 01:04
Last Modified: 23 Apr 2018 01:04
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1177/1010539512472361
URI: http://psasir.upm.edu.my/id/eprint/46736
Statistic Details: View Download Statistic

Actions (login required)

View Item View Item