Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic
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Características associadas ao abandono do acompanhamento de pacientes hipertensos atendidos em um ambulatório de referência
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Abstract
Objective - To determine the characteristics associated with the dropout of patients followed up in a Brazilian out patient clinic specializing in hypertension. Methods - Planned prospective cohort study of patients who were prescribed an antihypertensive treatment after an extensive initial evaluation. The following parameters were analyzed: sex, age, educational level, duration of disease, pressure level used for classifying the patient, previous treatment, physical activity, smoking, alcohol ...
Objective - To determine the characteristics associated with the dropout of patients followed up in a Brazilian out patient clinic specializing in hypertension. Methods - Planned prospective cohort study of patients who were prescribed an antihypertensive treatment after an extensive initial evaluation. The following parameters were analyzed: sex, age, educational level, duration of disease, pressure level used for classifying the patient, previous treatment, physical activity, smoking, alcohol consumption, familial history of hypertension, and lesion in a target organ. Results – We studied 945 hypertensive patients, 533 (56%) of whom dropped out of the follow-up. The mean age was 52.3±12.9 years. The highest probabilities of dropout of the follow-up were associated with current smoking, relative risk of 1.46 (1.04-2.06); educational level equal to or below 5 years of schooling, relative risk of 1.52 (1.11-2.08); and hypertension duration below 5 years, relative risk of 1.78 (1.28- 2.48). Age increase was associated with a higher probability of follow-up with a relative risk of 0.98 (0.97-0.99). Conclusion – We identified a group at risk for dropping out the follow-up, which comprised patients with a lower educational level, a recent diagnosis of hypertension, and who were smokers. We think that measures assuring adherence to treatment should be directed to this group of patients. ...
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Arquivos brasileiros de cardiologia. São Paulo. Vol. 76, n. 5 (maio 2001), p. 352-354.
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Artigos de Periódicos (39541)Ciências da Saúde (10601)
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Artigos de Periódicos (39541)Ciências Biológicas (3081)
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