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Background: The poor control of blood pressure is one of the prevalent problems for primary health care services all over the world.
Objective: The objective of this study was to evaluate blood pressure control in hypertensive patients.
Method: We conducted a cross-sectional study that included 579 subjects representative of the hypertensive patient’s population in Sarvabad city, the west of Iran in 2011. This information was extracted from the family records. Adequate blood pressure control was defined as <140/90 mmHg.
Results: The mean age was 65.8 years [95% CI: 64.8, 66.8], 38.7% were male, 9.8% were smokers and 18.3% were obese. Overall, 40% [95% CI: 35.9%, 44.1%] of hypertensive patients had their blood pressure controlled; the age-specific blood pressure control rate was 61.5%, 46.4% and 35.3% in men and 45.2%, 34% and 38.2% in women age 28 to 50 years, 51 to 70 years and above 71 years, respectively. After adjustment the likelihood of having poor control was 0.36 times greater among the diabetic patients, 0.52 times greater among the patients who had a BMI ≥ 30 that these were significant.
Conclusion: In all, BP control rate was low (40%).These results suggest that the majority of the treated hypertensive patients are complicated with additional cardiovascular risk factors such as smoking and obesity therefore required a good management of BP control
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Author(s): Shahab Rezaeian Jamal Ahmadzadeh
Blood pressure control, Hypertensive patients, Propensity score, Iran