title: Hypertension treatment and control rates: chart review in an academic family medicine clinic.
abstract: OBJECTIVE
  To characterize hypertension management in an academic family medicine clinic.
  
  
  METHODS
  Cross-sectional chart review.
  
  
  METHODS
  Academic family medicine clinic in Edmonton, Alta.
  
  
  METHODS
  A total of 210 patients with 1 or more visits for hypertension during the previous 3 years.
  
  
  METHODS
  Patient characteristics, current antihypertensive therapies, most recent blood pressure measurements, and compelling indications according to the 2006 Canadian Hypertension Education Program recommendations.
  
  
  RESULTS
  A total of 185 subjects (88%) were prescribed antihypertensive medications, and 89 (42%) had controlled hypertension. Younger subjects, people with diabetes, and people not receiving antihypertensive medication therapy appeared less likely to have controlled hypertension. There were 76 subjects (36%) prescribed 1 antihypertensive medication, 65 subjects (31%) prescribed 2 antihypertensive medications, and 44 (21%) prescribed 3 or more antihypertensive medications. Angiotensin-converting enzyme inhibitors were prescribed for 51% of the subjects, diuretics for 47%, beta-blockers for 27%, calcium channel blockers for 23%, angiotensin receptor blockers for 20%, and alpha-blockers for 1%.
  
  
  CONCLUSIONS
  Hypertension treatment and control rates in this academic family medicine clinic appear to be better than those in the general population. Following the principles of a continuous quality improvement process, this information will serve as an important foundation for identifying areas to improve hypertension management in the clinic.
authors: University of Alberta, Edmonton, AB T6G 2N8.
authors: Sara J
authors: SJ
authors: Houlihan
authors: Scot H
authors: SH
authors: Simpson
authors: Andrew J
authors: AJ
authors: Cave
authors: Nigel W
authors: NW
authors: Flook
authors: Mary E
authors: ME
authors: Hurlburt
authors: Chris J
authors: CJ
authors: Lord
authors: Linda L
authors: LL
authors: Smith
authors: Harvey H
authors: HH
authors: Sternberg
mesh_terms: D000416:Alberta; D000959:Antihypertensive Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012189:Retrospective Studies
chemical_list: D000959:Antihypertensive Agents