• English
    • íslenska
  • English 
    • English
    • íslenska
  • Login
View Item 
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • Icelandic Journal Articles (Peer Reviewed)
  • View Item
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • Icelandic Journal Articles (Peer Reviewed)
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Browse

All of HirslaCommunitiesAuthorsTitleSubjectsSubject (MeSH)Issue DateJournalThis CollectionAuthorsTitleSubjectsSubject (MeSH)Issue DateJournal

My Account

LoginRegister

Local Links

FAQ - (Icelandic)FAQ - (English)Hirsla LogosAbout LandspitaliLSH Home PageLibrary HomeIcelandic Journals

Statistics

Display statistics

Meðferð háþrýstings í heilsugæslu

  • CSV
  • RefMan
  • EndNote
  • BibTex
  • RefWorks
Thumbnail
Name:
L2006-05-92-F2.pdf
Size:
193.6Kb
Format:
PDF
Description:
Allur texti - Full Text
Download
Average rating
 
   votes
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
 
Your vote was cast
Thank you for your feedback
Authors
Jóhanna Ósk Jensdóttir
Emil L. Sigurðsson
Guðmundur Þorgeirsson
Issue Date
2006-05-01

Metadata
Show full item record
Other Titles
Hypertension management in general practice in Iceland
Citation
Læknablaðið 2006, 92(5):375-80
Abstract
OBJECTIVE: To evaluate the medical management and cardiovascular (CV) risk profile of patients with hypertension in general practice in Iceland. METHODS: All patients with the diagnosis of hypertension at the primary health care center Solvangur, providing services for 23.066 inhabitants, made up the study group. Medical records for these patients were evaluated and information about medical management and CV risk factors where gathered. RESULTS: 982 patients had been diagnosed with hypertension. Only 27% had documented blood pressure levels below the guideline target of 140/90 mmHg. More women than men had blood pressure below target levels, 35% v.s. 28% for systolic blood pressure (p=0.04) and 66% v.s. 50% for diastolic blood pressure (p<0.001). Systolic blood pressure was more frequently above target levels than the diastolic blood pressure, in 47% of patients v.s. 20%. Blood tests had been obtained for 78% of the patients of which 47% had cholesterol values above 6.0 mm/L and 11% had blood glucose levels above 6.4 mmol/L. During the years 2002 and 2003 75% of the patients received drug treatment for hypertension with 39% on monotherapy, 36% on two drugs and 25% taking three or more drugs. The most commonly used agents were beta blockers and diuretics, with 29% of patients on monotherapy taking beta blockers and 27% on diuretics. At least half of the patients have either confirmed coronary heart disease (CHD), diabetes or hypercholesterolemia. Information on smoking history and body mass index is incomplete in these medical records. CONCLUSIONS: Overwhelming majority of hypertensives in this large primary health care center does not reach the treatment targets set out by clinical guidelines. However, drug utilization with beta blockers and diuretics being the most commonly used drugs, is in accordance with most guidelines. More use of combination therapy could possibly improve blood pressure control. This group of hypertensive patients is a high risk group with over half of them having either documented CHD, diabetes or other risk factors. Although the results are for most part in agreement with results from other studies they necessitate a comprehensive reassessment of the medical management of hypertensive patients in general practice in Iceland.
Tilgangur: Að kanna meðferð háþrýstingssjúklinga í heilsugæslu og stöðu annarra áhættuþátta hjarta- og æðasjúkdóma meðal þessara sjúklinga. Aðferðir og efniviður: Allir sjúklingar með greininguna háþrýstingur á heilsugæslustöðinni Sólvangi, sem sinnir 23.066 íbúum, mynduðu rannsóknarhópinn. Sjúkraskýrslur þessara sjúklinga voru skoðaðar og upplýsingum um meðferð og áhættuþætti hjarta- og æðasjúkdóma var safnað. Niðurstöður: Alls voru 982 sjúklingar sem fengið höfðu sjúkdómsgreininguna háþrýstingur. Aðeins 27% höfðu blóðþrýstingsgildi undir meðferðarmarkmiðum 140/90 mmHg. Fleiri konur en karlar höfðu blóðþrýstingsgildi sem náðu þessum markmiðum, 35% á móti 28% fyrir slagbilsþrýsting (p=0,04) og 66% á móti 50% fyrir hlébilsþrýsting (p<0,001). Fleiri sjúklingar lágu ofar meðferðarmarkmiðum fyrir slagbilsþrýsting en hlébilsþrýsting, 47% á móti 20%. Blóðprufur höfðu verið teknar hjá 78% sjúklinganna og þar af höfðu 47% kólesterólgildi yfir 6,0 mm/L og 11% blóðsykurgildi yfir 6,4 mm/L. Á árunum 2002 og 2003 voru 75% sjúklinganna á lyfjameðferð vegna háþrýstings, 39% voru meðhöndlaðir með einu lyfi, 36% tóku tvö lyf og 25% tóku 3 eða fleiri lyf. Algengast var að meðhöndlað væri með beta hemlum og þvagræsilyfjum. Þannig voru 29% sjúklinga sem tóku eitt lyf vegna síns háþrýstings á beta hemlum og 27% á þvagræsilyfjum. Að minnsta kosti helmingur sjúklinganna hafði þekktan kransæðasjúkdóm, sykursýki eða of hátt kólesteról. Skortur var á upplýsingum um reykingar og líkamsþyngd í þeim sjúkraskýrslum sem athugaðar voru. Ályktanir: Mikill meirihluti háþrýstingssjúklinga á stórri heilsugæslustöð náði ekki þeim meðferðarmarkmiðum sem klínískar leiðbeiningar mæla með. Val lyfja er hins vegar í nokkuð góðu samræmi við leiðbeiningar þar sem algengast er að beta hemlar og þvagræsilyf séu notuð. Samkvæmt leiðbeiningum mætti oftar nota fleiri lyf saman. Þessi hópur háþrýstingssjúklinga er í mikill áhættu þar sem yfir helmingur hans er þegar með þekktan kransæðasjúkdóm, sykursýki eða aðra áhættuþætti. Þó niðurstöðurnar séu áþekkar niðurstöðum sambærilegra erlendra rannsókna kalla þær á heildræna endurskipulagningu á meðferð sjúklinga með háþrýsting í heilsugæslu.
Description
Hægt er að lesa greinina í heild sinni með því að smella á hlekkinn í Additional Links
Additional Links
http://www.laeknabladid.is/2006/05/nr/2362
Collections
Icelandic Journal Articles (Peer Reviewed)

entitlement

Related articles

  • Blood pressure control and drug therapy in patients with diagnosed hypertension: a survey in Italian general practice.
  • Authors: Filippi A, Paolini I, Innocenti F, Mazzaglia G, Battaggia A, Brignoli O
  • Issue date: 2009 Nov
  • ESH-ESC guidelines for the management of hypertension.
  • Authors: Erdine S, Ari O, Zanchetti A, Cifkova R, Fagard R, Kjeldsen S, Mancia G, Poulter N, Rahn KH, Rodicio JL, Ruilope LM, Staessen J, van Zwieten P, Waeber B, Williams B
  • Issue date: 2006 Jun
  • [Differences between management guidelines and global health strategies for arterial hypertension with metabolic disorders in France in 1999. Ohara study].
  • Authors: Mallion JM, Kahn JC, Poncelet P, Pannier B, Vaïsse B, Koch C, Phan TM, Pithois-Merli I
  • Issue date: 2001 Aug
  • Treatment of hypertension in Finnish general practice seems unsatisfactory despite evidence-based guidelines.
  • Authors: Varis J, Savola H, Vesalainen R, Kantola I
  • Issue date: 2009
  • The 2004 Canadian recommendations for the management of hypertension: Part II--Therapy.
  • Authors: Khan NA, McAlister FA, Campbell NR, Feldman RD, Rabkin S, Mahon J, Lewanczuk R, Zarnke KB, Hemmelgarn B, Lebel M, Levine M, Herbert C, Canadian Hypertension Education Program.
  • Issue date: 2004 Jan

DSpace software (copyright © 2002 - 2022)  DuraSpace
Quick Guide | Contact Us
Open Repository is a service operated by 
Atmire NV
 

Export search results

The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.