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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
REGINO-RUENES, Yenys M.; QUINTERO-VELASQUEZ, Mario A. and SALDARRIAGA-FRANCO, Juan F.. Uncontrolled hypertension and its associated factors in a hypertension program. Rev. Colomb. Cardiol. [online]. 2021, vol.28, n.6, pp.648-655. Epub Jan 07, 2022. ISSN 0120-5633. https://doi.org/10.24875/rccar.m21000108.
Objective
To identify the proportion of uncontrolled hypertensive patients and their associated factors in a population attending an HBP program.
Method
Cross-sectional association study. Sociodemographic, clinical and anthropometric data were obtained. Surveys and review of medical records were applied in a sample of 272 participants. The characterization of the patients was performed. By multivariate logistic regression the odds ratios (OR) and confidence intervals (95% CI) were obtained.
Results
The non-control of blood pressure was evidenced in 35.3% (95% CI: 29.41-41.20). The variables obesity (OR: 2.1; 95% CI: 1.05-4.31), use more than three medications per day (OR: 2.0; 95% CI: 1.19-3.44), and attending less than four follow-up controls per year (OR: 2.2; 95% CI: 1.03-4.74), were significantly associated as a risk factor for non-BP control. Having an excellent perception of the quality program was a protective factor (OR: 0.5; 95% CI: 0.28-0.87).
Conclusions
The proportion of hypertensive patients who do not achieve the therapeutic goal (PA ≤ 140/90 mm Hg), remains a challenge for clinical practice and public health. The adherence and control of risk factors such as obesity are important interventions in this context.
Keywords : Hypertension; Blood pressure; Therapeutic index.