title: [Relationship among the degree of control of arterial hypertension, comorbidity and costs in individuals over age 30 during 2006].
abstract: BACKGROUND
  Arterial hypertension is one of the main reasons for primary care consultations. This study is aimed at determining the relationship among the degree to which arterial hypertension is controlled, comorbidity and the direct costs in primary care.
  
  
  METHODS
  Retrospective, multi-centre design. Subjects over 30 years of age pertaining to five primary care teams (2006) were included.
  
  
  METHODS
  good control (<140/90 and <130/80 mmHg in diabetics and those with cardiovascular disease [CVD]. Main general measurements, CVD, Charlson index, casuistic/comorbidity (Adjusted Clinical Groups), clinical parameters and direct costs (fixed/semifixed and variable costs) [medications, tests and referrals]) Logic regression and ANCOVA for correcting the model, p<0.05.
  
  
  RESULTS
  The prevalence of arterial hypertension was 26.5% (mean age: 67.1 years; males: 43.5%). Good control totalled 52.0% (CI: 51.2-52.8%). Poor control was independently related to diabetes (Odds Ratio=3.8), CVD (Odds Ratio=2.2) and males (Odds Ratio=1.2), p<0.001. The average/direct unit cost/year was 1,202.13 Euro vs. 1,183.55 Euro (p=0.032).
  
  
  CONCLUSIONS
  Those individuals whose arterial hypertension was poorly controlled displayed a greater burden of morbidity and a similar healthcare cost in comparison to those under good control.
authors: Dirección de Planificación, Badalona Serveis Assistencials SA, Badalona, Barcelona, Spain. asicras@bsa.cat
authors: Antoni
authors: A
authors: Sicras-Mainar
authors: Soledad
authors: S
authors: Velasco-Velasco
authors: Josep Ramón
authors: JR
authors: Llopart-López
authors: Nuria González-Rojas
authors: NG
authors: Guix
authors: Chenco
authors: C
authors: Clemente-Igeño
authors: Ruth
authors: R
authors: Navarro-Artieda
mesh_terms: D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000191:economics / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012189:Retrospective Studies