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Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic

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Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic

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Título Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic
Outro título Características associadas ao abandono do acompanhamento de pacientes hipertensos atendidos em um ambulatório de referência
Autor Busnello, Renné Gusmão
Melchior, Raquel
Faccin, Carlo Sasso
Vettori, Daniela Vanessa
Petter, Juliano Gueno
Moreira, Leila Beltrami
Fuchs, Flávio Danni
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 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.
Contido em Arquivos brasileiros de cardiologia. São Paulo. Vol. 76, n. 5 (maio 2001), p. 352-354
Assunto Farmacologia
Hipertensão
Pacientes desistentes do tratamento
[en] Dropout
[en] Systemic hypertension
[en] Treatment
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/19518
Arquivos Descrição Formato
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