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[Blood pressure control in hospital units in Spain]

Alejandro de la Sierra1, Vivencio Barrios, Diego González-Segura

  • 1Servicio de Medicina Interna, Hospital Mutua Terrassa, Universidad de Barcelona, Terrassa, Barcelona, España. adelasierra@mutuaterrassa.es

Medicina Clinica
|July 7, 2012
PubMed

Insights

Blood pressure control in hospital referral units remains low at 42%, unchanged for a decade. Despite improved therapeutic efforts, increased patient risk and comorbidities hinder blood pressure management.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Public Health

Context:

  • Limited data exists on blood pressure (BP) control in hospital referral settings.
  • Primary care BP control is well-documented, but hospital settings remain understudied.

Purpose:

  • To assess the degree of BP control in hypertensive patients within hospital referral units.
  • To identify factors associated with uncontrolled BP in this population.

Summary:

  • A study of 1,550 hypertensive patients found only 42% achieved BP control (below 140/90 mm Hg).
  • Uncontrolled BP was linked to female gender, obesity, smoking, left ventricular hypertrophy, and dyslipidemia.
  • Therapeutic inertia was noted in 39% of patients with uncontrolled BP.

Impact:

  • The findings highlight a persistent challenge in managing hypertension in specialized hospital care.
  • Despite advancements, BP control rates have not improved over the last ten years.
  • Increased patient risk factors and comorbidities complicate achieving target BP values.
Abstract

Keywords:
Ambulatory blood pressure monitoringBlood pressure controlCardiovascular riskControl de la presión arterialHipertensión arterialHypertensionMonitorización ambulatoria de la presión arterialRiesgo cardiovascular

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