Epidemiological study of hypertensive retinopathy in the primary care setting: Retrospective cross-sectional review of retinal photographs
| Autor: | Michael K.C. Yau, Cheuk-Wai Kam, Lorna V. Ng, Lap-Kin Chiang, Benny Zee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
lcsh:R5-920 retinal photograph business.industry Public Health Environmental and Occupational Health Patient characteristics Retinal Primary care medicine.disease Primary care clinic chemistry.chemical_compound primary care chemistry Hypertensive retinopathy Internal medicine Ophthalmology Hard exudates Epidemiology medicine Family Practice business lcsh:Medicine (General) Silver-wiring |
| Zdroj: | Family Medicine and Community Health, Vol 4, Iss 4, Pp 13-21 (2016) |
| ISSN: | 2009-8774 2305-6983 |
| Popis: | Objective: The objective is to estimate the prevalence and grading of hypertensive retinopathy in the primary care setting; examine the patient characteristics associated with hypertensive retinopathy; and examine the association of hypertensive retinopathy and other hypertension complications. Methods: This is a retrospective cross-sectional study. Subjects included adult hypertensive patients with available and gradable retinal photographs. Results: Two hundred fifty-six male hypertensive patients (34.3%) and 491 female hypertensive patients (65.7%) were included. The average duration of hypertension was 7.2 years, and 49.8% and 41.2% of patients were taking one or two antihypertensive medications respectively. Among 1491 qualified retinal photographs (744 right eye and 747 left eye), 24.9%, 62.6%, and 12.5% were classified as showing normal, mild, and moderate hypertensive retinopathy respectively. The three commonest retinal signs were generalized or focal arteriolar narrowing (650 cases, 43.6%), hard exudates (168 cases, 11.3%), and opacity (copper or silver wiring) of the arteriolar wall (166 cases, 11.1%). Patients older than 61 years, having hypertension for more than 15 years, or taking three or more antihypertensive medications were significantly associated with hypertensive retinopathy (P |
| Databáze: | OpenAIRE |
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