Prevalence of hypertension and associated risk factors in people with long-term spinal cord injury living in the Netherlands.

Autor:	Adriaansen, Jacinthe J. E., Douma-Haan, Yvonne, van Asbeck, Floris W. A., van Koppenhagen, Casper F., de Groot, Sonja, Smit, Christof A., Visser-Meily, Johanna M. A., Post, Marcel W. M.
Předmět:	HYPERTENSION risk factors HYPERTENSION epidemiology AGE factors in disease BLOOD pressure CARDIOVASCULAR diseases CARDIOVASCULAR diseases risk factors CHI-squared test CONFIDENCE intervals STATISTICAL correlation DIABETES HIGH density lipoproteins HYPERCHOLESTEREMIA ANTIHYPERTENSIVE agents INTERVIEWING LOW density lipoproteins MEDICAL cooperation NONPARAMETRIC statistics QUESTIONNAIRES RESEARCH RESEARCH funding SMOKING SPINAL cord injuries LOGISTIC regression analysis BODY mass index CROSS-sectional method DATA analysis software DESCRIPTIVE statistics ODDS ratio MANN Whitney U Test KRUSKAL-Wallis Test
Zdroj:	Disability & Rehabilitation; Apr2017, Vol. 39 Issue 9, p919-927, 9p, 4 Charts, 3 Graphs
Abstrakt:	Purpose: To describe the prevalence of hypertension and associated risk factors in people with long-term spinal cord injury (SCI) and to compare the prevalence of high blood pressure and/or the use of antihypertensive drugs with the prevalence in the Dutch general population. Method: Multicentre cross-sectional study (N = 282). Hypertension was defined as a systolic blood pressure (SBP) of ≥140 mmHg and/or a diastolic blood pressure (DBP) of ≥90 mmHg after ≥2 blood pressure measurements during ≥2 doctor visits. High blood pressure was defined as a single measurement of a SBP of ≥140 mmHg and/or a DBP of ≥90 mmHg. Results: The prevalence of hypertension was 21.5%. Significant predictors were: lesion level below C8 (T1–T6: OR =6.4, T7–L5: OR =10.1), history of hypercholesterolemia (OR =4.8), longer time since injury (OR =1.1), higher age (OR =1.1). The prevalence of high blood pressure and/or the use of antihypertensive drugs was higher in men (T1–T6 lesion: 48%; T7–L5 lesion: 57%) and women (T1–T6 lesion: 48%; T7–L5 lesion: 25%) with a SCI below C8 compared to Dutch able-bodied men (31%) and women (18%). Conclusion: High blood pressure is common in people with SCI. Screening for hypertension during annual checkups is recommended, especially in those with a SCI below C8. High blood pressure is common in people with long-term SCI living in the Netherlands and its prevalence is higher in both men and women with a spinal cord lesion level below C8 compared with the age-matched Dutch general population. It is recommended to screen for hypertension during annual checkups in people with SCI, especially in those with a higher risk of developing hypertension, e.g. those with a spinal cord lesion level below C8 and an age of ≥45 years or a time since injury of ≥20 years. When a high blood pressure is measured in people with SCI, they should receive a further assessment of the blood pressure according to the available guidelines for the general population, including ambulatory 24 h-blood pressure monitoring. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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