title: [The follow-up of a patient cohort with arterial hypertension in primary care].
abstract: OBJECTIVE
  To establish effectiveness of the hypertension program basing on the detection degree, decreasing of blood pressure and control of hypertension.
  
  
  METHODS
  Intervention study.
  
  
  METHODS
  Primary care.
  
  
  METHODS
  A group > or = 14 years of age, treated by the primary health care and selected at random (3,349). Here we found all the patients with hypertension (237). INTERVENTION AND MAIN RESULTS: Hypertension program approval of the public health department. Criteria followed are those suggested in report V of the Joint National COMMITTEE: Global prevalence of hypertension is 7.1% and in the group > or = 65 years of age 51.3%. Average decrease of the systolic blood pressure is 18.9 mmHg and that of the diastolic blood pressure 13.5 mmHg, both with p < 0.001. Decrease for patients with mild hypertension was 5.4-13.8 mmHg for systolic and 6.7-11.8 for diastolic. Patients with moderate hypertension 17.3-22.5 and 12.2-15.7 mmHg respectively and patients with severe hypertension 27.6-43.0 and 15.0-23.0 mmHg. The 39.7% of hypertensive patients have systolic < 140 mmHg and 70.0% have diastolic < 90 mmHg at the end of monitoring period.
  
  
  CONCLUSIONS
  Actual application of hypertension program by our primary care system allows detection of elderly patients with high blood pressure, major decrease of blood pressure, together with a greater decrease even whether they high at the beginning of the monitoring.
authors: Centro de Salud San Fernando, Móstoles, Madrid.
authors: M M
authors: MM
authors: Alonso Martínez
authors: E
authors: E
authors: Condés Moreno
authors: R
authors: R
authors: Saá Sarria
authors: H
authors: H
authors: Valdivia Altamirano
authors: M
authors: M
authors: del Río
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology
vernacular_title: Seguimiento de una cohorte de pacientes con hipertensión arterial en atención primaria.