title: Cardiovascular risk and blood pressure control in a Spanish hypertensive population attended in a Primary Care setting. Data from the PRESCAP 2006 study.
abstract: OBJECTIVE
  To analyse the cardiovascular risk of a broad sample of hypertensive patients and to examine whether there are differences in blood pressure control and associated factors according to the different cardiovascular risk categories.
  
  
  RESULTS
  A total of 10,520 patients > or = 18 years old were included (mean age 64.6+/-11.3 years; 53.7% women). In this cohort, 3.3% were average risk, 22.6% low added risk, 22.2% moderate added risk, 33.5% high added risk and 18.4% very high added risk. Blood pressure was controlled in 41.4% (95% CI 40.5-42.4) of the total population, in 91.7% of patients with low added risk, in 19.4% with moderate added risk, in 27.4% with high added risk and in 6.8% with very high added risk. Diabetes was the factor most strongly associated with poor blood pressure control in patients with high to very high added risk (OR=7.2; p<0.0001).
  
  
  CONCLUSIONS
  More than half of the hypertensive patients treated in primary health care have a high or very high added cardiovascular risk. In these patients, blood pressure control is inadequate and diabetes is associated with a sevenfold increase in the likelihood of poor blood pressure control.
authors.affiliation: Health Care Centre, La Puebla de Montalban, Toledo, Spain. grodriguezr@semergen.es
authors.forename: Gustavo C
authors.initials: GC
authors.lastname: Rodriguez-Roca
authors.forename: Jose L
authors.initials: JL
authors.lastname: Llisterri-Caro
authors.forename: Vivencio
authors.initials: V
authors.lastname: Barrios-Alonso
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Alonso-Moreno
authors.forename: Salvador
authors.initials: S
authors.lastname: Lou-Arnal
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Prieto-Diaz
authors.forename: Tomas
authors.initials: T
authors.lastname: Sanchez-Ruiz
authors.forename: Rafael
authors.initials: R
authors.lastname: Dura-Belinchon
authors.forename: Jose A
authors.initials: JA
authors.lastname: Santos-Rodriguez
authors.forename: Juan A
authors.initials: JA
authors.lastname: Divison-Garrote
authors.forename: Diego
authors.initials: D
authors.lastname: Gonzalez-Segura
authors.forename: Jose R
authors.initials: JR
authors.lastname: Banegas-Banegas
mesh_terms: D000368:Aged; D001794:Blood Pressure / Q000187:drug effects*; D002319:Cardiovascular System; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D044382:Population Groups; D011203:Poverty; D011320:Primary Health Care; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology