| Titre : | Cardiovascular morbidity and mortality among hypertensive patients in general practice : The evaluation of long-term systematic management. (1997) |
| Auteurs : | L.M. HARMS ; L.M. BOUTER ; A.J.M. DONKER ; F.G. SCHELLEVIS ; J.T.M. VAN EIJK ; Department of General Practice. Nursing Home Medicine and Social Medicine. Vrije Universiteit. Amsterdam. NLD ; Institute for Research in Extramural Medicine. Vrije Universiteit. Amsterdam. NLD |
| Type de document : | Article |
| Dans : | Journal of clinical epidemiology (vol. 50, n° 7, 1997) |
| Pagination : | 779-786 |
| Langues: | Anglais |
| Mots-clés : | Hypertension artérielle ; Morbidité ; Létalité ; Appareil circulatoire [pathologie] ; Complication ; Programme santé ; Thérapeutique ; Thérapeutique médicamenteuse ; Morbidité [épidémiologie] ; Epidémiologie ; Facteur risque ; Evaluation ; Homme ; Etude comparée ; Europe ; Pays Bas |
| Résumé : | [BDSP. Notice produite par INIST TBVfR0xc. Diffusion soumise à autorisation]. Objective : To evaluate systematic management of hypertensive patients with regard to cardiovascular morbidity and mortality. Design : In a matched cohort study (1978-1993) the number of cardiovascular events among hypertensive patients under continuous systematic management in four general practices was compared with those occurring among hypertensive patients from eight "usual care" general practices. Subjects : The source population consisted of employees of a major electronic company in Eindhoven with hypertension as determined at an occupational health examination. The index group (n=120) consisted of employees who were participating in the systematic management program in four practices. A reference group of 120 patients was selected from hypertensive employees who were registered in eight "usual care" practices by matching for age, gender, fasting blood glucose, and frequency of occupational health examinations. The total cohort consisted primarily of males (78%), whose ages ranged from 50 to 65 years. Main outcome measures : Risk difference (RD) per 1000 patient years regarding left ventricular hypertrophy, heart failure, angina pectoris, myocardial infarction, transient ischaemic attack, stroke, peripheral arterial disease, nephropathy, retinopathy, cardiac death, death due to stroke, and non-cardiovascular death was determined. (...) |
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