[Are the guidelines for the management of hypertensive patients followed by primary care residents and fellows?].
Numerous international guidelines are published which define how hypertensive patients should be managed. Are these guidelines followed and applicable? We have assessed the quality of management of 225 hypertensive ambulatory patients followed by young fellows in teaching for primary care medicine. The control rate defined by a blood pressure < 140/90 mmHg was 32,4%. In the last three visits, 60% of hypertensive patients had a blood pressure measurement. 79% of blood pressure readings ended with 0 or 5. Blood pressure control was identical whatever the comorbidities. In conclusion, the quality of management of hypertensive patients by in teaching fellow could potentially be improved. The actual recommendations are limited in their application. The control of high risk vascular patients is not better than those with a lower risk.
Birchmeier
A
A
Policlinique Médicale Universitaire, Service de Néphrologie et Consultation d'hypertension CHUV, 1011 Lausanne.
Favrat
B
B
Burnier
M
M
D005194:Family Practice / Q000193:education*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy*; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D013557:Switzerland