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Abstract(s)
Introdução: A Hipertensão Arterial é uma doença com uma prevalência elevada entre a população adulta, especialmente entre as pessoas com idade superior a 60 anos, representando uma prevalência mundial de aproximadamente 1 bilião de adultos. Esta patologia apresenta uma elevada taxa de mortalidade e morbilidade sendo responsável por cerca de 13-15% da totalidade das mortes mundialmente e duplica o risco de outras doenças cardiovasculares.
Objetivos: Este estudo tem como principais propósitos caraterizar os indivíduos hipertensos, bem como avaliar o seu seguimento e resultados a nível de controlo da sua patologia, nomeadamente os que andam a ser seguidos na consulta de hipertensão do Centro Hospitalar da Cova da Beira.
Métodos: Estudo epidemiológico exploratório do tipo quantitativo, de nível descritivo, apoiado em dados retirados dos processos clínicos da população em estudo, tendo em conta as variáveis intervenientes, de forma a responder aos nossos propósitos. Em relação ao tempo, trata-se de um estudo de coorte retrospetivo, no período de Janeiro a Dezembro de 2015.
Resultados: Dos 341 indivíduos estudados verificou-se que 53,67% são do sexo feminino e 46,33% do sexo masculino. O grupo etário predominante é dos 35 - 64 anos, tanto no sexo masculino como no feminino.
A hipertensão arterial demonstrou-se controlada em 52,49% dos indivíduos e, nos 46,92% dos indivíduos que apresentavam hipertensão arterial não controlada, a maioria apresentava hipertensão arterial sistólica isolada.
Em relação aos antecedentes pessoais, 56,32% dos indivíduos têm dislipidémia, 21,71% apresentam diabetes mellitus e 21,41% são obesos. Nos antecedentes familiares, 7,33% dos indivíduos apresentam hipertensão arterial, não havendo dados referente a este assunto em 87,70% dos indivíduos.
Da amostra total, constata-se que 88,57% dos indivíduos estão a usar terapia farmacológica. Destes, 53,98% usam apensas um fármaco anti-hipertensivo enquanto que os restantes usam dois ou mais fármacos. Verifica-se também que a classe farmacoterapêutica mais usada é os diuréticos, sendo usados por 34,77% dos indivíduos. Dos indivíduos que usam terapia farmacológica, 48,68% apresentam hipertensão arterial controlada.
Conclusão: Embora os resultados obtidos sejam comparáveis com outros estudos realizados a nível nacional, os mesmos poderão estar condicionados pela dimensão da amostra em estudo, bem como pela ausência de informação nos processos clínicos de muitos indivíduos. Seria adequado, em termos futuros, a execução de um estudo longitudinal envolvendo os utentes que recorreram à Consulta de Hipertensão do Centro Hospitalar Cova da Beira, de forma a ter um conhecimento mais abrangente do percurso clínico que realizam, envolvendo estas e outras variáveis.
Introduction: Arterial hypertension is a disease with high prevalence among the adult population, especially among people aged over 60 years, representing a worldwide prevalence of approximately 1 billion adults. This disease has a high rate of mortality and morbidity and is responsible for about 13-15% of all deaths worldwide and doubles the risk of other cardiovascular diseases. Objectives: This study's main purpose is to describe the hypertensive individuals, and evaluate the follow-up and results in terms of control of their disease, such as those who are being followed in Hypertension Office Visit of Centro Hospitalar Cova da Beira. Methods: Exploratory epidemiological study of quantitative, descriptive level, supported by data from medical records of the study population, taking into account the intervening variables, in order to respond to our purposes. Over time, it is a retrospective cohort study, from January to December 2015. Results: Of the 341 individuals studied it has been found that 53.67% are female and 46.33% are male. The predominant age group is 35-64 years, both in males as in females. Hypertension is controlled in 52.49% of patients and in 46.92% of individuals with uncontrolled hypertension, most have isolated systolic hypertension. Regarding the personal background, 56.32% of individuals have dyslipidemia, 21.71% have diabetes mellitus and 21.41% are obese. In family history, 7.33% of individuals have hypertension and there is no data concerning this subject in 87.70% of subjects. From the total sample, it has been found that 88.57% of subjects use pharmacologic therapy. Of these, 53.98% use one antihypertensive drug while the other use two or more drugs. It was also found that the most widely used class pharmacotherapy is diuretics, being used by 34.77% of subjects. In those individuals who use drug therapy, 48.68% have controlled blood pressure. Conclusion: Although the results are comparable with other studies carried out at national level, the same may be conditioned by the size of the sample under study, as well as by the lack of information in medical records of many individuals. It would be appropriate in future terms, the implementation of a longitudinal study involving users who resorted to Hypertension Office Visit of Centro Hospitalar Cova da Beira, in order to have a more comprehensive knowledge of the clinical course they do, involving these and other variables.
Introduction: Arterial hypertension is a disease with high prevalence among the adult population, especially among people aged over 60 years, representing a worldwide prevalence of approximately 1 billion adults. This disease has a high rate of mortality and morbidity and is responsible for about 13-15% of all deaths worldwide and doubles the risk of other cardiovascular diseases. Objectives: This study's main purpose is to describe the hypertensive individuals, and evaluate the follow-up and results in terms of control of their disease, such as those who are being followed in Hypertension Office Visit of Centro Hospitalar Cova da Beira. Methods: Exploratory epidemiological study of quantitative, descriptive level, supported by data from medical records of the study population, taking into account the intervening variables, in order to respond to our purposes. Over time, it is a retrospective cohort study, from January to December 2015. Results: Of the 341 individuals studied it has been found that 53.67% are female and 46.33% are male. The predominant age group is 35-64 years, both in males as in females. Hypertension is controlled in 52.49% of patients and in 46.92% of individuals with uncontrolled hypertension, most have isolated systolic hypertension. Regarding the personal background, 56.32% of individuals have dyslipidemia, 21.71% have diabetes mellitus and 21.41% are obese. In family history, 7.33% of individuals have hypertension and there is no data concerning this subject in 87.70% of subjects. From the total sample, it has been found that 88.57% of subjects use pharmacologic therapy. Of these, 53.98% use one antihypertensive drug while the other use two or more drugs. It was also found that the most widely used class pharmacotherapy is diuretics, being used by 34.77% of subjects. In those individuals who use drug therapy, 48.68% have controlled blood pressure. Conclusion: Although the results are comparable with other studies carried out at national level, the same may be conditioned by the size of the sample under study, as well as by the lack of information in medical records of many individuals. It would be appropriate in future terms, the implementation of a longitudinal study involving users who resorted to Hypertension Office Visit of Centro Hospitalar Cova da Beira, in order to have a more comprehensive knowledge of the clinical course they do, involving these and other variables.
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Keywords
Antecedentes Controlo Epidemiologia Hipertensão Arterial Tratamento