Meðferð háþrýstings í heilsugæslu á höfuðborgarsvæðinu

Publisher Copyright: © 2022 Laeknafelag Islands. All rights reserved. INTRODUCTION: High blood pressure (HT) is one of the main risk factors for cardiovascular diseases which in 2010 caused one third of all mortality in the world. Untreated, HT can cause stroke, myocardial infarction, heart failure,...

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Bibliographic Details
Published in:Læknablaðið
Main Authors: Aðalsteinsson, Stefán Júlíus, Jónsson, Jón Steinar, Hrafnkelsson, Hannes, Þorgeirsson, Guðmundur, Sigurðsson, Emil Lárus
Other Authors: Læknadeild
Format: Article in Journal/Newspaper
Language:Icelandic
Published: 2022
Subjects:
drug treatment
Hypertension
primary care
treatment goals
Cross-Sectional Studies
Humans
Male
Myocardial Infarction
Adolescent
Female
Hypertension/diagnosis
Iceland/epidemiology
Primary Health Care
Retrospective Studies
Háþrýstingur
Heilsugæsla
Læknisfræði (allt)
Iceland
Online Access:https://hdl.handle.net/20.500.11815/3917
https://doi.org/10.17992/lbl.2022.02.675
Description
Summary:Publisher Copyright: © 2022 Laeknafelag Islands. All rights reserved. INTRODUCTION: High blood pressure (HT) is one of the main risk factors for cardiovascular diseases which in 2010 caused one third of all mortality in the world. Untreated, HT can cause stroke, myocardial infarction, heart failure, dementia, kidney failure, atherosclerosis and eye diseases. The main aim of this study was to find out how HT is treated in primary care in the capital area of Iceland. MATERIAL AND METHODS: The study is a descriptive retrospective cross-sectional study covering the years 2010, 2014 and 2019. Information about all patients over 18 years old diagnosed with HT were gathered from computerised medical records at every primary care center in the Capital area. RESULTS: The number of individuals diagnosed with HT increased during the study period and the mean age did also increase. The sex ratio changed with more men diagnosed than women. Of 25.873 patients diagnosed with HT in the year 2010, 63.4% received drug treatment. In 2019 this percentage had dropped 60.9% (p<0,001). Of those on antihypertensive drug treatment the proportion receiving one, two or three drugs remained same from 2010-2019. The most common group of drugs used were diuretics (C03), beta-blockers (C07), calcium channel blockers (C08) and renin-angiotensin-aldosteron-system (RAAS) inhibitors (C09). The proportion af these drug groups changed significantly during the study. Fever patients were treated by diuretics (p<0,001) or beta-blockers ((p<0,001) but the number treated by calcium channel blockers (p<0,01) or RAAS inhibitors increased (p<0,001). During the whole stud period 44.1% of the patients reached the target goals. The proportion of patients who reached the target goals in different health care center was specifically for the year 2019. Just over 41% of HT patients reached the targets goals. However, two health care centers achieved notably different results with only one third of the patients attaining the goals. CONCLUSION: As ...

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