Abstract 426: Factors Associated With Multimorbidity And Its Link With Poor Blood Pressure Control Among 223,286 Hypertensive Patients

Autor:	Ellen L Tong, Antonio C.H. Sek, Harry H Wang, Bryan P. Yan, Martin C.S. Wong, Sian M. Griffiths, Andrew J.S. Coats, Mandy W.M. Kwan, Cheuk-Man Yu, Clement S.K. Cheung, Ngai Tseung Cheung
Rok vydání:	2014
Předmět:	Blood pressure control education.field_of_study Pediatrics medicine.medical_specialty Adult patients business.industry Population medicine.disease Chronic disorders Male patient Diabetes mellitus Internal Medicine medicine Household income Clinical care education business
Zdroj:	Hypertension. 64
ISSN:	1524-4563 0194-911X
Popis:	Background: Multimorbidity, defined as the presence of ≥ 2 chronic disorders, has become the norm in many countries as populations age. It remains, however, very infrequently researched. This study evaluated the factors associated with multimorbidity in a predominantly Chinese hypertensive population. Methods: We included all adult patients prescribed their first antihypertensive agents in the public sector of the entire Hong Kong population from a validated clinical database. Multinomial regression analyses were performed to explore factors independently associated with multimorbidity. Results: 223,286 hypertensive patients (average age of 59.9 years, SD 17.6) were included. The prevalence of having 0, 1 and ≥2 additional chronic conditions was 59.6% [133,176/223,286], 32.8% [73,313/223,286] and 7.5% [16,797/223,286], respectively. Older age (>50 years), male sex, lower household income, receipt of comprehensive social security allowance and suboptimal blood pressure control (>140mmHg or >90mmHg; >130mmHg or >80mmHg for diabetes patients; AOR=3.38 to 4.49) were significantly associated with the presence of ≥2 additional conditions. There exists a synergistic effect among these variables as older (≥70 years), male patients receiving security allowance had substantially higher prevalence of ≥2 multimorbidity (19.9% vs 7.5% among all patients). Conclusions: Multimorbidity is very common in hypertensive patients and its prevalence increased markedly with the presence of risk factors identified in this study. Hypertensive patients with multimorbidities should receive more meticulous clinical care as their blood pressure control tends to be poorer.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::25e500e567d449d3b665b6cf70d883a5 https://doi.org/10.1161/hyp.64.suppl_1.426 Zobrazit plný text záznamu