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首页> 外文期刊>The journal of clinical hypertension. >Predictors of hypertension control in a diverse general cardiology practice
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Predictors of hypertension control in a diverse general cardiology practice

机译：多种一般心脏病实践中高血压控制的预测因素

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摘要

Factors influencing hypertension (HTN) control in the United States are not well understood. The authors utilized a newly designed survey instrument to interview patients presenting to a diverse, general cardiology practice at a tertiary care center in order to identify factors associated with HTN control. The study was completed in 154 participants, and 121 (78.6%) had HTN. Of those, 111 (91.7%) had awareness of HTN, and 72 (59.5%) had HTN control, defined as <140/90 mm Hg. In a multivariate analysis, race/ethnicity was not associated with HTN control, but private insurance (odds ratio [OR] 3.40, 95% confidence interval [CI] 1.25-9.28), nonsmoker status (OR 4.36, CI 1.22-15.51), and number of medications used (OR 1.32, CI 1.12-1.56) were associated with HTN control. Correct recognition of systolic blood pressure goal and knowledge of one's current state of HTN control were also associated with control. In conclusion, in a general cardiology practice where patients had a high degree of healthcare access, race/ethnicity was not associated with HTN control, while type of insurance, nonsmoker status, and increased number of medications used were associated. In addition, 2 novel predictors of HTN control, recognition of systolic blood pressure goal and knowledge of HTN control, were identified that can be utilized in creating new HTN treatment interventions.
机译：在美国，影响高血压（HTN）控制的因素尚不清楚。作者利用一种新设计的调查工具在三级护理中心采访了表现出多种常规心脏病实践经验的患者，以识别与HTN控制相关的因素。这项研究完成了154位参与者，其中121位（78.6％）患有HTN。其中111（91.7％）人有HTN意识，而72（59.5％）人具有HTN控制，定义为<140/90 mm Hg。在多变量分析中，种族/民族与HTN控制无关，但与私人保险（赔率[OR] 3.40、95％置信区间[CI] 1.25-9.28），非吸烟者身份（OR 4.36，CI 1.22-15.51）相关，和使用的药物数量（OR 1.32，CI 1.12-1.56）与HTN控制有关。对收缩压目标的正确认识和对HTN控制现状的了解也与控制有关。总之，在一般的心脏病学实践中，患者拥有较高的医疗保健机会，种族/民族与HTN控制无关，而保险类型，不吸烟者身份和使用的药物数量增加则相关。此外，确定了2种新颖的HTN控制预测因子，对收缩压目标的识别和对HTN控制的认识，这些预测因子可用于创建新的HTN治疗干预措施。

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