Sarno Flavio, Bittencourt Clarissa Alves Gomes, Oliveira Simone Augusta de
Instituto Israelita de Responsabilidade Social, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2020 Jan 31;18:eAO4483. doi: 10.31744/einstein_journal/2020AO4483. eCollection 2020.
To analyze the characteristics of patients with hypertension and/or diabetes mellitus from Primary Healthcare units.
This is a retrospective study, with data collected from December 2014 of patients with hypertension and/or diabetes from 13 Primary Healthcare units located in the Southern region of Sao Paulo (SP, Brazil). Patients were compared by sex, diagnosis and cardiovascular risk using student t test, one way analysis of variance (ANOVA), and Mann-Whitney, Kruskal-Wallis and χ2 tests.
We evaluated 28,496 patients aged 20 years to 79 years (mean of 57.8 years). Most of patients were women (63.2%) and aged 50 years old or older (74.2%). The participation in the Programa Remédio em Casa (Medicine at Home Program) was higher among women (12.7%), and the proportions of hypertension, diabetes and both diseases were 68.0%, 7.9% and 24.1%, respectively. Patients with hypertension and diabetes had higher participation in Medicine at Home Program (13.3%), and those with diabetes only had higher participation in Programa de Automonitoramento Glicêmico (Self-Monitoring Glucose Program) (20.0%). The proportions of low, moderate, and high cardiovascular risk were 33.0%, 15.5%, and 51.5%, respectively.
The sample of this study consisted of patients who were mostly women, aged 50 years or older and diagnosed with hypertension. Almost a quarter of patients also had diabetes and approximately one third and half of them were classified as low and high cardiovascular risk.
分析基层医疗单位中高血压和/或糖尿病患者的特征。
这是一项回顾性研究,收集了2014年12月来自巴西圣保罗南部地区13个基层医疗单位的高血压和/或糖尿病患者的数据。采用学生t检验、单因素方差分析(ANOVA)以及曼-惠特尼检验、克鲁斯卡尔-沃利斯检验和χ²检验,对患者的性别、诊断和心血管风险进行比较。
我们评估了28496例年龄在20岁至79岁之间(平均57.8岁)的患者。大多数患者为女性(63.2%),年龄在50岁及以上(74.2%)。女性参与“居家用药计划”的比例更高(12.7%),高血压、糖尿病以及两种疾病都有的患者比例分别为68.0%、7.9%和24.1%。高血压和糖尿病患者参与“居家用药计划”的比例更高(13.3%),仅患有糖尿病的患者参与“血糖自我监测计划”的比例更高(20.0%)。低、中、高心血管风险的比例分别为33.0%、15.5%和51.5%。
本研究样本中的患者大多为50岁及以上的女性,且被诊断患有高血压。近四分之一患者还患有糖尿病,其中约三分之一和一半分别被归类为低心血管风险和高心血管风险。