title: [Factors associated with uncontrolled hypertension].
abstract: 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.
authors: Instituto Mexicano del Seguro Social, Morelia, Michoacán, México. oliva.mejia@imss.gob.mx
authors: Oliva
authors: O
authors: Mejía-Rodríguez
authors: Ramón
authors: R
authors: Paniagua-Sierra
authors: María del Refugio
authors: Mdel R
authors: Valencia-Ortiz
authors: Javier
authors: J
authors: Ruiz-García
authors: Benigno
authors: B
authors: Figueroa-Núñez
authors: Valentín
authors: V
authors: Roa-Sánchez
mesh_terms: 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
chemical_list: D000959:Antihypertensive Agents; D003404:Creatinine