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基层医疗单位高血压和/或糖尿病患者概况

Profile of patients with hypertension and/or diabetes mellitus from Primary Healthcare units.

作者信息

Sarno Flavio, Bittencourt Clarissa Alves Gomes, Oliveira Simone Augusta de

机构信息

Instituto Israelita de Responsabilidade Social, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2020 Jan 31;18:eAO4483. doi: 10.31744/einstein_journal/2020AO4483. eCollection 2020.

Abstract

OBJECTIVE

To analyze the characteristics of patients with hypertension and/or diabetes mellitus from Primary Healthcare units.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

分析基层医疗单位中高血压和/或糖尿病患者的特征。

方法

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。

结果

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%。

结论

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。

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