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Choice of first antihypertensive--are existing guidelines ignored?
Ifeanyi Okechukwu1, Azra Mahmud, Kathleen Bennett
1Department of Pharmacology & Therapeutics, Trinity College Centre for Health Sciences, St James's Hospital Dublin 8, Ireland.
Aims:
To determine adherence to hypertension guidelines in relation to age and diabetes.
Methods:
The Irish HSE-PCRS prescribing database identified patients initiating antihypertensive monotherapy in 2005. Logistic regression predicted the likelihood of therapy according to guidelines.
Results:
The odds ratio (OR) of receiving therapies according to the guideline recommendations in those <55 years vs. > or =55 years was 1.31 (95% CI 1.26, 1.37). Diabetics were more likely than nondiabetics to receive antihypertensives other than beta-adrenoceptor blockers (OR 2.97, 95% CI 2.74, 3.21).
Conclusions:
Our findings show some adherence to the guidelines in relation to age but selective prescribing of antihypertensives for diabetics.
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