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Meðferð háþrýstings í heilsugæslu á höfuðborgarsvæðinu

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dc.contributor.author Aðalsteinsson, Stefán Júlíus
dc.contributor.author Jónsson, Jón Steinar
dc.contributor.author Hrafnkelsson, Hannes
dc.contributor.author Þorgeirsson, Guðmundur
dc.contributor.author Sigurðsson, Emil Lárus
dc.date.accessioned 2023-01-28T01:04:48Z
dc.date.available 2023-01-28T01:04:48Z
dc.date.issued 2022-02
dc.identifier.citation Aðalsteinsson , S J , Jónsson , J S , Hrafnkelsson , H , Þorgeirsson , G & Sigurðsson , E L 2022 , ' Meðferð háþrýstings í heilsugæslu á höfuðborgarsvæðinu ' , Læknablaðið , bind. 108 , nr. 2 , bls. 71-78 . https://doi.org/10.17992/lbl.2022.02.675
dc.identifier.issn 0023-7213
dc.identifier.other 64941858
dc.identifier.other efecf44a-dd4a-49e9-aba4-dcfdc1367fcc
dc.identifier.other 85123965535
dc.identifier.other 35103619
dc.identifier.other unpaywall: 10.17992/lbl.2022.02.675
dc.identifier.other researchoutputwizard: hdl.handle.net/2336/622084
dc.identifier.uri https://hdl.handle.net/20.500.11815/3917
dc.description Publisher Copyright: © 2022 Laeknafelag Islands. All rights reserved.
dc.description.abstract INTRODUCTION: High blood pressure (HT) is one of the main risk factors for cardiovascular diseases which in 2010 caused one third of all mortality in the world. Untreated, HT can cause stroke, myocardial infarction, heart failure, dementia, kidney failure, atherosclerosis and eye diseases. The main aim of this study was to find out how HT is treated in primary care in the capital area of Iceland. MATERIAL AND METHODS: The study is a descriptive retrospective cross-sectional study covering the years 2010, 2014 and 2019. Information about all patients over 18 years old diagnosed with HT were gathered from computerised medical records at every primary care center in the Capital area. RESULTS: The number of individuals diagnosed with HT increased during the study period and the mean age did also increase. The sex ratio changed with more men diagnosed than women. Of 25.873 patients diagnosed with HT in the year 2010, 63.4% received drug treatment. In 2019 this percentage had dropped 60.9% (p<0,001). Of those on antihypertensive drug treatment the proportion receiving one, two or three drugs remained same from 2010-2019. The most common group of drugs used were diuretics (C03), beta-blockers (C07), calcium channel blockers (C08) and renin-angiotensin-aldosteron-system (RAAS) inhibitors (C09). The proportion af these drug groups changed significantly during the study. Fever patients were treated by diuretics (p<0,001) or beta-blockers ((p<0,001) but the number treated by calcium channel blockers (p<0,01) or RAAS inhibitors increased (p<0,001). During the whole stud period 44.1% of the patients reached the target goals. The proportion of patients who reached the target goals in different health care center was specifically for the year 2019. Just over 41% of HT patients reached the targets goals. However, two health care centers achieved notably different results with only one third of the patients attaining the goals. CONCLUSION: As has recently been shown in epidemiologic studies hypertension in Iceland is both underdiagnosed and undertreated although the country ranks high on both counts in international comparison. Furthermore, the fact that under half of hypertensive patients in general practice in the capital area reach the targeted treatment goals, cannot be considered an acceptable. Thus, it is of immense importance to improve both the diagnosis and the treatment of HT.
dc.format.extent 8
dc.format.extent 1487783
dc.format.extent 71-78
dc.language.iso is
dc.relation.ispartofseries Læknablaðið; 108(2)
dc.rights info:eu-repo/semantics/openAccess
dc.subject drug treatment
dc.subject Hypertension
dc.subject primary care
dc.subject treatment goals
dc.subject Cross-Sectional Studies
dc.subject Humans
dc.subject Male
dc.subject Myocardial Infarction
dc.subject Adolescent
dc.subject Female
dc.subject Hypertension/diagnosis
dc.subject Iceland/epidemiology
dc.subject Primary Health Care
dc.subject Retrospective Studies
dc.subject Háþrýstingur
dc.subject Heilsugæsla
dc.subject Háþrýstingur
dc.subject Heilsugæsla
dc.subject Hypertension
dc.subject Primary Health Care
dc.subject Almenn læknisfræði
dc.title Meðferð háþrýstings í heilsugæslu á höfuðborgarsvæðinu
dc.title.alternative Hypertension Management in Primary Care in the Capital Area of Iceland
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.doi 10.17992/lbl.2022.02.675
dc.relation.url http://www.scopus.com/inward/record.url?scp=85123965535&partnerID=8YFLogxK
dc.relation.url https://www.laeknabladid.is/tolublod/2022/02/nr/7941
dc.contributor.department Læknadeild

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