[Factors associated with uncontrolled hypertension].
OBJECTIVE
To assess health care characteristics for hypertensive patients and their association with uncontrolled hypertension in a primary care outpatient clinic.


METHODS



METHODS
Cross-sectional.A review was conducted of 50% of 8080 (n= 4040) files. Patient, physician and primary health care clinic characteristics were recorded.


RESULTS
The factors associated with uncontrolled hypertension were: age (OR, 1.43; CI95% : 1.015-1.030), BMI (OR, 1.03; CI95%: 1.02-1.05), creatinine serum levels (OR, 1.16; CI95%: 1.03-1.30), three or more different antihypertensive drugs (OR, 1.48; CI95%: 1.31-1.07), to be treated by a physician with more than 20 years of medical practice (OR, 1.21; CI95%; 1.06-1.39) or by a non-specialist physician (OR, 1.43; CI95%: 1.20-1.71) and to be treated in the morning shift (OR, 1.21; CI95%: 1.07- 1.56).


CONCLUSIONS
Hypertension is well-controlled in the majority of patients. Patient-related factors are important in uncontrolled hypertension; however, health care system characteristics also play an important role.
Mejía-Rodríguez
Oliva
O
Instituto Mexicano del Seguro Social, Morelia, Michoacán, México. oliva.mejia@imss.gob.mx
Paniagua-Sierra
Ramón
R
Valencia-Ortiz
María del Refugio
Mdel R
Ruiz-García
Javier
J
Figueroa-Núñez
Benigno
B
Roa-Sánchez
Valentín
V
D000367:Age Factors; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015897:Comorbidity; D003404:Creatinine / Q000097:blood; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D005194:Family Practice / Q000458:organization & administration; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000453:epidemiology*; D007676:Kidney Failure, Chronic / Q000453:epidemiology; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D010820:Physicians / Q000706:statistics & numerical data; D012307:Risk Factors; D012494:Sampling Studies; D012737:Sex Factors; D012959:Socioeconomic Factors; D013997:Time Factors; D014505:Urban Population / Q000706:statistics & numerical data
D000959:Antihypertensive Agents; D003404:Creatinine