Control of blood pressure in Scotland: the rule of halves.

摘要: OBJECTIVE--Audit of detection, treatment, and control hypertension in adults Scotland. DESIGN--Cross sectional survey with random population sampling. SETTING--General practice centres 22 Scottish districts. SUBJECTS--5123 Men 5236 women aged 40-59 the heart health study, randomly selected from districts throughout Scotland, whom 1262 men 1061 had (defined as receiving antihypertensive treatment or blood pressure above defined cut off points). MAIN OUTCOME MEASURE--Hypertension (assessed by standardised recording, questionnaire on diagnosis, drug treatment) according to criteria World Health Organisation (receiving greater than equal 160/95 mm Hg, both) modified British Hypertension Society. RESULTS--In half Hg was undetected (670/1262, 53%), those it been detected untreated (250/592, 42%), not controlled (172/342, 50%). In numbers were: 486/1061, 46%; 188/575, 33%; 155/387, 40% respectively. Assessment Society9s recommendations showed an improvement, but only a quarter 42% treated satisfactorily (142/561, 215/514 respectively). IMPLICATIONS--The detection Scotland is unsatisfactory, affecting management this other conditions, such high cholesterol concentration, whose measurement opportunistic selective depends recognition risk factors.