Non-compliance and inertia in hypertensive Spaniards at high cardiovascular risk: CUMPLE study
Autor: | José Luis Martín de Pablos, Emilio Márquez-Contreras, Vicente Francisco Gil-Guillén, Salvador Pertusa Martínez, Concepción Carratalá-Munuera, Josep Franch-Nadal, Vicente Bertomeu-González, Adriana Lopez-Pineda, Mariano De La Figuera-Von Wichmann, Jose Luis Llisterri-Caro, Domingo Orozco-Beltrán, José Joaquin Casado-Martinez, Nieves Martell-Claros |
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Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Primary health care Therapeutic inertia Blood Pressure Logistic regression Medication Adherence Risk Factors Internal medicine Non compliance medicine Humans Longitudinal Studies Prospective Studies Prospective cohort study Antihypertensive Agents Primary Health Care business.industry Medical adherence Mean age General Medicine Middle Aged Blood pressure Multicenter study Spain Hypertension Female business Primary healthcare Antihypertensive Compliance |
Zdroj: | CURRENT MEDICAL RESEARCH AND OPINION r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname |
ISSN: | 0300-7995 |
Popis: | Objective: To assess non-compliance (NC) and therapeutic inertia (TI) after 6 months of follow-up in hypertensive patients with poorly controlled blood pressure and high cardiovascular risk. Research design and methods: Longitudinal, multicentre study; 3900 uncontrolled hypertensive patients were recruited from 585 primary healthcare centres. Tablets were counted during visits at baseline, 1, 3 and 6 months. A tablet count between 80-100% was considered as compliant. Multivariate logistic regression was performed to determine variables associated with NC and TI. Results: A total of 3636 patients completed, mean age was 64.8 (SD 10.8) years, 53.7% being male. After one month, 61.8% (60.2-63.4) had uncontrolled blood pressure, 39.5% (37.9-41.1) were NC and 52.3% (50.2-54.4) had TI. At the end of follow-up, uncontrolled blood pressure was 34.6% (33.1-36.1) (p |
Databáze: | OpenAIRE |
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