Caracteristicas associadas ao abandono do acompanhamento de pacientes hipertensos atendidos em um ambulatório de referência / Characteristics associated with the dropout of hypertensive patients followed up in an outpatient referral clinic
Arq. bras. cardiol
; 76(5): 349-354, May 2001. tab
Artigo
em Português, Inglês
| LILACS
| ID: lil-288784
Biblioteca responsável:
BR1.1
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 percent) of whom dropped out of the follow-up. The mean age was 52.3 + or -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
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Pacientes Desistentes do Tratamento
/
Assistência Ambulatorial
/
Hipertensão
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
2001
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal do Rio Grande do Sul/BR
