突尼斯全国高血压观察性多中心登记处的设计与原理：临床实践中高血压患者护理评估方案

Design and Rationale of the National Observational Multicentric Tunisian Registry of Hypertension: Protocol for Evaluating Hypertensive Patient Care in Clinical Practice.

作者信息

Abid Leila, Hammami Rania, Abdesselem Salem, Boudiche Selim, Hédi Ben Slima, Sayahi Khaled, Bahloul Amine, Chamtouri Ikram, Charfeddine Salma, Rais Lamia, Drissa Meriem, Ben Kaab Badreddine, Ibn Hadj Amor Hassen, Ben Fatma Lilia, Garbaa Riadh, Boukhris Sabrine, Emna Allouche, Ben Halima Manel, Amdouni Nesrine, Ghorbel Shayma, Soudani Sabrine, Khaled Imen, Triki Syrine, Bouazizi Feten, Jemai Imen, Abdeljalil Ouday, Ammar Yemna, Farah Amani, Neji Adnen, Oumaya Zeineb, Seghaier Sana, Mokrani Samir, Thawaba Hamza, Sarray Hela, Ouaghlani Khalil, Thabet Houssem, Mnif Zeineb, Fatma Boujelben Masmoudi, Sghaier Mohamed, Khalifa Roueida, Fourati Sami, Kammoun Yassmine, Abid Syrine, Hamza Chiheb, Ben Jeddou Syrine, Sabbah Lassaad, Lakhdhar Rim, Dammak Najla, Sellami Tarak, Herbegue Basma, Koubaa Alia, Triki Faten, Ellouze Tarek, Hmoudi Aicha, Ben Ameur Ikhlas, Boukhchina Mohamed Mongi, Abid Neila, Ouechtati Wejdene, Nasrallah Nizar, Houidi Yousra, Mghaieth Zghal Fathia, Elhem Ghodhbane, Chayeb Mounira, Sarra Chenik, Kaabachi Samira, Saadaoui Nizar, Ben Ameur Ines, Affes Moufida, Ouali Sana, Chaker Mouna, Naana Hela, Meriem Dghim, Jarrar Mourad, Mnif Jihen, Turki Ahmed, Zairi Ihsen, Langar Jamel, Dardouri Safa, Hachaichi Imen, Chettaoui Rafik, Smat Wajih, Chakroun Amel, Mzoughi Khadija, Mechmeche Rachid, Ben Halima Afef, Ben Kahla Koubaa Sahar, Chtourou Slim, Mohamed Abdelkader Maalej, Ayari Mohsen, Hadrich Moufid, Rami Tlili, Azaiez Fares, Bouhlel Imen, Sahnoun Samir, Jerbi Habib, Imtinene Ben Mrad, Riahi Leila, Sahnoun Mohamed, Ben Jemaa Abdelhamid, Ben Salem Amal, Rekik Bassem, Ben Doudou Maroua, Boujnah Mohamed Rachid, Joulak Anissa, Omar Abid, Razgallah Rabie, Sami Milouchi, Neffati Elyes, Gamra Habib, Ben Youssef Soraya, Sdiri Wissem, Ben Halima Nejeh, Ben Ameur Youssef, Kachboura Salem, Kraiem Sondes, Fehri Wafa, Zakhama Lilia, Bezdah Leila, Mohamed Sami Mourali, Drissa Habiba, Maatouk Mohamed Faouzi, Kammoun Samir, Addad Faouzi

机构信息

Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia.

Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia.

出版信息

JMIR Res Protoc. 2022 Sep 2;11(9):e21878. doi: 10.2196/21878.

DOI:10.2196/21878

PMID:36053572

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9482066/

Abstract

BACKGROUND

This study was designed to evaluate the care of hypertensive patients in daily clinical practice in public and private centers in all Tunisian regions.

OBJECTIVE

This study will provide us an overview of hypertension (HTN) management in Tunisia and the degree of adherence of practitioners to international recommendations.

METHODS

This is a national observational cross-sectional multicenter study that will include patients older than 18 years with HTN for a duration of 4 weeks, managed in the public sector from primary and secondary care centers as well as patients managed in the private sector. Every participating patient signed a consent form. The study will exclude patients undergoing dialysis. The parameters that will be evaluated are demographic and anthropometric data, lifestyle habits, blood pressure levels, lipid profiles, treatment, and adherence to treatment. The data are collected via the web interface in the Dacima Clinical Suite.

RESULTS

The study began on April 15, 2019 and ended on May 15, 2019. During this period, we included 25,890 patients with HTN. Data collection involved 321 investigators from 24 Tunisian districts. The investigators were doctors working in the private and public sectors.

CONCLUSIONS

Observational studies are extremely useful in improving the management of HTN in developing countries.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04013503; https://clinicaltrials.gov/ct2/show/NCT04013503.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/21878.

摘要

背景

本研究旨在评估突尼斯所有地区公立和私立中心日常临床实践中高血压患者的护理情况。

目的

本研究将为我们提供突尼斯高血压（HTN）管理的概况以及从业者对国际建议的遵循程度。

方法

这是一项全国性观察性横断面多中心研究，将纳入年龄超过18岁且患有高血压达4周的患者，这些患者在公立部门的一级和二级护理中心接受治疗，以及在私立部门接受治疗的患者。每位参与研究的患者都签署了知情同意书。该研究将排除正在接受透析的患者。将评估的参数包括人口统计学和人体测量数据、生活方式习惯、血压水平、血脂谱、治疗情况以及对治疗的依从性。数据通过Dacima临床套件中的网络界面收集。