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Prevalência e fatores de risco associados ao acidente vascular cerebral em pessoas com hipertens?o arterial: uma análise hierarquizada

机译:动脉高血压患者中风相关的患病率和风险因素:分析分析

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Background: Stroke causes permanent sequelae and is the second leading cause of death worldwide. Poor blood pressure control corresponds to 80% of cases. Objective: To analyze the prevalence and identify the risk factors for stroke in hypertensive patients using a hierarchical analysis. Methodology: Cross-sectional study involving 378 hypertensive patients living in a municipality of Southern Piauí, Brazil, in 2018. Sociodemographic variables, health conditions, and lifestyles were analyzed using hierarchical multiple regression organized at distal, intermediate, and proximal levels, respectively. Results: Stroke prevalence was 11.6%. Associated factors were: gender (AOR = 0.47; 95% CI: 0.23-0.95) and age (AOR = 1.03; 95% CI: 1.01-1.06) at the distal level; having a relative who has had a stroke (AOR = 2.01; 95% CI: 1.00-4.04) and going to the emergency room with altered blood pressure (OR = 2.01; 95% CI: 1.00-4.05) at the intermediate level; intake of high-fat foods (OR = 2.33; 95% CI: 1.15-4.72), intake of sweets (OR = 2.37; 95% CI: 1.15-4.90), and time as a smoker (OR = 1.02; 95% CI: 1.00-1.04) at the proximal level. Conclusion: Prevalence was explained by a hierarchy of risk factors, thereby evidencing those classified as modifiable proximally.
机译:背景:中风导致永久性后遗症,是全世界第二次死亡原因。血压差对应于80%的病例。目的:使用等级分析分析高血压患者中风患者的患病率和鉴定危险因素。方法论:2018年,涉及涉及居住在巴西南部Piauí南部市政府的378名高血压患者的横断面研究。使用在远端,中间和近端水平下组织的分层多元回归分析了社会渗透变量,健康状况和生活方式。结果:卒中普及率为11.6%。相关因素是:性别(AOR = 0.47; 95%CI:0.23-0.95)和年龄(AOR = 1.03; 95%CI:1.01-1.06)处于远端;具有中风的亲戚(AOR = 2.01; 95%CI:1.00-4.04)并进入急诊室的中间水平改变(或= 2.01; 95%CI:1.00-4.05);摄入高脂食物(或= 2.33; 95%CI:1.15-4.72),摄入糖果(或= 2.37; 95%CI:1.15-4.90),以及吸烟者(或= 1.02; 95%CI) :1.00-1.04)在近端水平。结论:患风险因素的等级解释了普遍性,从而证明了分类为近端可修改的人。

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