Antihypertensiv behandling forud for cerebrovaskulaere sygdomme er utilstraekkelig i henhold til rekommandationerne

Aneta Aleksandra Nielsen, Cramer Christensen, Ivan Brandslund, Ebbe Wendel Eriksen, Anita Schmitz

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

INTRODUCTION: Hypertension, diabetes mellitus and age are risk factors for cerebrovascular events. The aim of this study was to investigate the presence of hypertension, diabetes and antihypertensive treatment preceding disease debut in patients admitted to hospital with cerebrovascular events in order to evaluate if recommendations are followed and treatment goals are achieved. MATERIALS AND METHODS: A total of 351 patients were admitted to hospital due to cerebrovascular events during a three-month period in Vejle County. The study included the 253 (72%) of 351 patients whose blood pressure had been measured within the five year period preceeding hospitalisation. Patient data and information about medication before the cerebrovascular events were obtained from the hospital's electronic database and the health care system of Vejle County. Patients were divided into four groups: intracerebral haemorrhage, cerebral infarction, stroke and transient cerebral ischaemia. RESULTS: The median patient age was 74 years with no gender difference. Diabetes was present in 13% of patients. A total of 74% of all patients had a pre-admission blood pressure that was too high, 59% were being treated with antihypertensives and 80% had blood pressure >/= 140/90. The remaining 41% of all patients received no antihypertensive treatment, though 66% had elevated blood pressure. CONCLUSIONS: A total of 74% of all patients had increased blood pressure before hospital admittance. Our study shows that management of hypertension is unsatisfactory, and many cerebrovascular events may be prevented through improved detection of unknown hypertension and more intensive anti-hypertensive treatment.
Udgivelsesdato: 2008-Oct-6
OriginalsprogDansk
TidsskriftUgeskrift for læger
Vol/bind170
Udgave nummer41
Sider (fra-til)3246-50
Antal sider4
ISSN0041-5782
StatusUdgivet - 2008

Citer dette

Nielsen, Aneta Aleksandra ; Christensen, Cramer ; Brandslund, Ivan ; Eriksen, Ebbe Wendel ; Schmitz, Anita. / Antihypertensiv behandling forud for cerebrovaskulaere sygdomme er utilstraekkelig i henhold til rekommandationerne. I: Ugeskrift for læger. 2008 ; Bind 170, Nr. 41. s. 3246-50.
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abstract = "INTRODUCTION: Hypertension, diabetes mellitus and age are risk factors for cerebrovascular events. The aim of this study was to investigate the presence of hypertension, diabetes and antihypertensive treatment preceding disease debut in patients admitted to hospital with cerebrovascular events in order to evaluate if recommendations are followed and treatment goals are achieved. MATERIALS AND METHODS: A total of 351 patients were admitted to hospital due to cerebrovascular events during a three-month period in Vejle County. The study included the 253 (72{\%}) of 351 patients whose blood pressure had been measured within the five year period preceeding hospitalisation. Patient data and information about medication before the cerebrovascular events were obtained from the hospital's electronic database and the health care system of Vejle County. Patients were divided into four groups: intracerebral haemorrhage, cerebral infarction, stroke and transient cerebral ischaemia. RESULTS: The median patient age was 74 years with no gender difference. Diabetes was present in 13{\%} of patients. A total of 74{\%} of all patients had a pre-admission blood pressure that was too high, 59{\%} were being treated with antihypertensives and 80{\%} had blood pressure >/= 140/90. The remaining 41{\%} of all patients received no antihypertensive treatment, though 66{\%} had elevated blood pressure. CONCLUSIONS: A total of 74{\%} of all patients had increased blood pressure before hospital admittance. Our study shows that management of hypertension is unsatisfactory, and many cerebrovascular events may be prevented through improved detection of unknown hypertension and more intensive anti-hypertensive treatment. Udgivelsesdato: 2008-Oct-6",
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author = "Nielsen, {Aneta Aleksandra} and Cramer Christensen and Ivan Brandslund and Eriksen, {Ebbe Wendel} and Anita Schmitz",
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Antihypertensiv behandling forud for cerebrovaskulaere sygdomme er utilstraekkelig i henhold til rekommandationerne. / Nielsen, Aneta Aleksandra; Christensen, Cramer; Brandslund, Ivan; Eriksen, Ebbe Wendel; Schmitz, Anita.

I: Ugeskrift for læger, Bind 170, Nr. 41, 2008, s. 3246-50.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Antihypertensiv behandling forud for cerebrovaskulaere sygdomme er utilstraekkelig i henhold til rekommandationerne

AU - Nielsen, Aneta Aleksandra

AU - Christensen, Cramer

AU - Brandslund, Ivan

AU - Eriksen, Ebbe Wendel

AU - Schmitz, Anita

PY - 2008

Y1 - 2008

N2 - INTRODUCTION: Hypertension, diabetes mellitus and age are risk factors for cerebrovascular events. The aim of this study was to investigate the presence of hypertension, diabetes and antihypertensive treatment preceding disease debut in patients admitted to hospital with cerebrovascular events in order to evaluate if recommendations are followed and treatment goals are achieved. MATERIALS AND METHODS: A total of 351 patients were admitted to hospital due to cerebrovascular events during a three-month period in Vejle County. The study included the 253 (72%) of 351 patients whose blood pressure had been measured within the five year period preceeding hospitalisation. Patient data and information about medication before the cerebrovascular events were obtained from the hospital's electronic database and the health care system of Vejle County. Patients were divided into four groups: intracerebral haemorrhage, cerebral infarction, stroke and transient cerebral ischaemia. RESULTS: The median patient age was 74 years with no gender difference. Diabetes was present in 13% of patients. A total of 74% of all patients had a pre-admission blood pressure that was too high, 59% were being treated with antihypertensives and 80% had blood pressure >/= 140/90. The remaining 41% of all patients received no antihypertensive treatment, though 66% had elevated blood pressure. CONCLUSIONS: A total of 74% of all patients had increased blood pressure before hospital admittance. Our study shows that management of hypertension is unsatisfactory, and many cerebrovascular events may be prevented through improved detection of unknown hypertension and more intensive anti-hypertensive treatment. Udgivelsesdato: 2008-Oct-6

AB - INTRODUCTION: Hypertension, diabetes mellitus and age are risk factors for cerebrovascular events. The aim of this study was to investigate the presence of hypertension, diabetes and antihypertensive treatment preceding disease debut in patients admitted to hospital with cerebrovascular events in order to evaluate if recommendations are followed and treatment goals are achieved. MATERIALS AND METHODS: A total of 351 patients were admitted to hospital due to cerebrovascular events during a three-month period in Vejle County. The study included the 253 (72%) of 351 patients whose blood pressure had been measured within the five year period preceeding hospitalisation. Patient data and information about medication before the cerebrovascular events were obtained from the hospital's electronic database and the health care system of Vejle County. Patients were divided into four groups: intracerebral haemorrhage, cerebral infarction, stroke and transient cerebral ischaemia. RESULTS: The median patient age was 74 years with no gender difference. Diabetes was present in 13% of patients. A total of 74% of all patients had a pre-admission blood pressure that was too high, 59% were being treated with antihypertensives and 80% had blood pressure >/= 140/90. The remaining 41% of all patients received no antihypertensive treatment, though 66% had elevated blood pressure. CONCLUSIONS: A total of 74% of all patients had increased blood pressure before hospital admittance. Our study shows that management of hypertension is unsatisfactory, and many cerebrovascular events may be prevented through improved detection of unknown hypertension and more intensive anti-hypertensive treatment. Udgivelsesdato: 2008-Oct-6

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Antihypertensive Agents

KW - Cerebral Hemorrhage

KW - Cerebral Infarction

KW - Cerebrovascular Disorders

KW - Diabetes Mellitus

KW - Guideline Adherence

KW - Humans

KW - Hypertension

KW - Ischemic Attack, Transient

KW - Middle Aged

KW - Risk Factors

KW - Stroke

M3 - Tidsskriftartikel

VL - 170

SP - 3246

EP - 3250

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 41

ER -