Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência
Ano de defesa: | 2014 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Goiás
|
Programa de Pós-Graduação: |
Programa de Pós-graduação em Ciências da Saúde (FM)
|
Departamento: |
Faculdade de Medicina - FM (RG)
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tede/5106 |
Resumo: | High blood pressure (HBP) is a chronic disease with high prevalence and the main risk factors for the development of cardiovascular diseases. It is therefore a major public health problem and a major challenge to health professionals. Its close relationship with other risk factors and the knowledge that their treatment alters the natural history of diseases of the cardiovascular apparatus, makes the effective control of blood pressure (BP) reduce, significantly, cardiovascular outcomes such as Accident cerebrovascular (stroke), acute myocardial infarction (MI), chronic kidney disease (CKD) and Death. Based on this knowledge of health programs has been developed for the prevention and control of hypertension. Objective: To evaluate the level of BP control, risk factors and cardiovascular outcomes in hypertensive patients registered within the Reference Center for Hypertension and Diabetes (CRHD) of a medium-sized city in the Midwest region for the period 2003-2012 Methodology.: it is about quasi-experimental study with a quantitative approach, performed in specialized service with hypertensive, of both genders, aged over 18 years, registered in HIPERDIA system been followed for at least 6 months. A representative sample of patients the service was investigated by aleatory drawing. Collected data regarding the unit admission and follow-up through home visits, and analyzed: demographic variables, blood pressure, body mass index (BMI), BP measurements, risk factors and cardiovascular outcomes. Data collection was for the period 2003 to 2012, the Chi-square or Fisher tests, Kolmogorov-Student t test, Wilcoxon test were used.; significance level of 0.05, confidence interval of 95%. Results: There was a predominance of females. Over time, a significant increase in the prevalence of overweight, physical inactivity, alcohol consumption, diabetes mellitus and dyslipidemia. Chronic complications have risen 12.4% strokes being observed, followed by MI (10.5%), CKD (10.5%), CABG (6.4%) and finally Death (5.5%). There was a significant improvement (p = 0.001) rates of BP control during follow-up period from 29.6% at admission to 39.6% at follow-up. Conclusion: Despite considerable improvements in the rate of blood pressure control during follow-up of the subjects, these numbers were not encouraging. There were also increases in the presence of risk factors. |
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Jardim, Paulo César Brandão Veigahttp://lattes.cnpq.br/2292209583823133Sousa, Ana Luiza Limahttp://lattes.cnpq.br/6578713509935374Jardim, Paulo César Brandão VeigaSouza, Weimar K. Sebba BarrosoSousa, Ana Luiza LimaPóvoa, Thais Inácio RolinVitorino, Priscilla Valverdehttp://lattes.cnpq.br/3875429922378252Guimarães Filho, Gilberto Campos2016-01-15T09:15:57Z2014-04-30GUIMARÃES FILHO, G. C. Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência. 2014. 77 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.http://repositorio.bc.ufg.br/tede/handle/tede/5106High blood pressure (HBP) is a chronic disease with high prevalence and the main risk factors for the development of cardiovascular diseases. It is therefore a major public health problem and a major challenge to health professionals. Its close relationship with other risk factors and the knowledge that their treatment alters the natural history of diseases of the cardiovascular apparatus, makes the effective control of blood pressure (BP) reduce, significantly, cardiovascular outcomes such as Accident cerebrovascular (stroke), acute myocardial infarction (MI), chronic kidney disease (CKD) and Death. Based on this knowledge of health programs has been developed for the prevention and control of hypertension. Objective: To evaluate the level of BP control, risk factors and cardiovascular outcomes in hypertensive patients registered within the Reference Center for Hypertension and Diabetes (CRHD) of a medium-sized city in the Midwest region for the period 2003-2012 Methodology.: it is about quasi-experimental study with a quantitative approach, performed in specialized service with hypertensive, of both genders, aged over 18 years, registered in HIPERDIA system been followed for at least 6 months. A representative sample of patients the service was investigated by aleatory drawing. Collected data regarding the unit admission and follow-up through home visits, and analyzed: demographic variables, blood pressure, body mass index (BMI), BP measurements, risk factors and cardiovascular outcomes. Data collection was for the period 2003 to 2012, the Chi-square or Fisher tests, Kolmogorov-Student t test, Wilcoxon test were used.; significance level of 0.05, confidence interval of 95%. Results: There was a predominance of females. Over time, a significant increase in the prevalence of overweight, physical inactivity, alcohol consumption, diabetes mellitus and dyslipidemia. Chronic complications have risen 12.4% strokes being observed, followed by MI (10.5%), CKD (10.5%), CABG (6.4%) and finally Death (5.5%). There was a significant improvement (p = 0.001) rates of BP control during follow-up period from 29.6% at admission to 39.6% at follow-up. Conclusion: Despite considerable improvements in the rate of blood pressure control during follow-up of the subjects, these numbers were not encouraging. There were also increases in the presence of risk factors.A hipertensão arterial (HAS) é uma doença crônica de elevada prevalência e um dos principais fatores de risco para o desenvolvimento das doenças cardiovasculares. É, portanto um grande problema de saúde pública e um dos maiores desafios aos profissionais de saúde. A sua íntima relação com outros fatores de risco e o conhecimento de que seu tratamento modifica a história natural das doenças do aparelho cardiocirculatório, faz com que o controle eficaz da pressão arterial (PA) reduza, de maneira significativa, os desfechos cardiovasculares como o Acidente Vascular Encefálico (AVE), Infarto agudo do Miocárdio (IAM), Insuficiência Renal crônica (IRC) e Óbito. Com base nesse conhecimento Programas de saúde tem sido desenvolvidos, visando à prevenção e controle da HAS. Objetivo: Avaliar o nível de controle da PA, fatores de risco e desfechos cardiovasculares de hipertensos cadastrados em Centro de Referência em Hipertensão e Diabetes (CRHD) de uma cidade de médio porte na região centro-oeste no período de 2003 a 2012. Metodologia: Trata-se de estudo quase experimental, com abordagem quantitativa, realizado em serviço especializado, com hipertensos, de ambos os sexos, com idade igual ou maior que 18 anos, cadastrados no sistema HIPERDIA, em seguimento há pelo menos 6 meses. Foi investigada uma amostra representativa dos pacientes do serviço através de sorteio aleatório. Coletados dados referentes à admissão na unidade e ao seguimento, por meio de visita domiciliar, sendo analisadas: Variáveis demográficas, pressão arterial, índice de massa corpórea (IMC), fatores de risco e desfechos cardiovasculares. A coleta de dados foi relativa ao período de 2003 a 2012. Foram utilizados os testes Qui-quadrado ou Fisher, teste de Kolmogorov teste T-student, teste de Wilcoxon; nível de significância de 0,05, intervalo de confiança de 95%. Resultados: Houve predomínio do sexo feminino. No decorrer do tempo, houve aumento significativo da prevalência de excesso de peso, sedentarismo, etilismo, diabetes mellitus e dislipidemia. As complicações crônicas se elevaram, sendo observados 12,4% de AVE, seguida de IAM (10,5%), IRC (10,5%), revascularização miocárdica (6,4%) e por último Óbito (5,5%). Houve uma melhora significativa (p=0,001) das taxas de controle da PA durante o período de seguimento passando de 29,6% na admissão para 39,6% no seguimento. Conclusão: Apesar da considerável melhora da taxa de controle pressórico no período de seguimento dos indivíduos, estes números não foram animadores. Houve também aumento na presença dos fatores de risco.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2016-01-14T07:07:40Z No. of bitstreams: 2 Dissetação - Gilberto Campos Guimarães Filho - 2014.pdf: 1197940 bytes, checksum: 3137fad68d418cc9a7a9b35237f22484 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-01-15T09:15:57Z (GMT) No. of bitstreams: 2 Dissetação - Gilberto Campos Guimarães Filho - 2014.pdf: 1197940 bytes, checksum: 3137fad68d418cc9a7a9b35237f22484 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2016-01-15T09:15:57Z (GMT). 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dc.title.por.fl_str_mv |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência |
dc.title.alternative.eng.fl_str_mv |
Evolution of blood pressure and cardiovascular outcomes of hipertensive in the reference center |
title |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência |
spellingShingle |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência Guimarães Filho, Gilberto Campos Hipertensão Pressão arterial Fatores de risco Doenças cardiovasculares Unidade de saúde Hypertension Blood pressure Risk factors Cardiovascular diseases Health unit CIENCIAS DA SAUDE |
title_short |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência |
title_full |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência |
title_fullStr |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência |
title_full_unstemmed |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência |
title_sort |
Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência |
author |
Guimarães Filho, Gilberto Campos |
author_facet |
Guimarães Filho, Gilberto Campos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Jardim, Paulo César Brandão Veiga |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2292209583823133 |
dc.contributor.advisor-co1.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/6578713509935374 |
dc.contributor.referee1.fl_str_mv |
Jardim, Paulo César Brandão Veiga |
dc.contributor.referee2.fl_str_mv |
Souza, Weimar K. Sebba Barroso |
dc.contributor.referee3.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.referee4.fl_str_mv |
Póvoa, Thais Inácio Rolin |
dc.contributor.referee5.fl_str_mv |
Vitorino, Priscilla Valverde |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3875429922378252 |
dc.contributor.author.fl_str_mv |
Guimarães Filho, Gilberto Campos |
contributor_str_mv |
Jardim, Paulo César Brandão Veiga Sousa, Ana Luiza Lima Jardim, Paulo César Brandão Veiga Souza, Weimar K. Sebba Barroso Sousa, Ana Luiza Lima Póvoa, Thais Inácio Rolin Vitorino, Priscilla Valverde |
dc.subject.por.fl_str_mv |
Hipertensão Pressão arterial Fatores de risco Doenças cardiovasculares Unidade de saúde |
topic |
Hipertensão Pressão arterial Fatores de risco Doenças cardiovasculares Unidade de saúde Hypertension Blood pressure Risk factors Cardiovascular diseases Health unit CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Hypertension Blood pressure Risk factors Cardiovascular diseases Health unit |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
High blood pressure (HBP) is a chronic disease with high prevalence and the main risk factors for the development of cardiovascular diseases. It is therefore a major public health problem and a major challenge to health professionals. Its close relationship with other risk factors and the knowledge that their treatment alters the natural history of diseases of the cardiovascular apparatus, makes the effective control of blood pressure (BP) reduce, significantly, cardiovascular outcomes such as Accident cerebrovascular (stroke), acute myocardial infarction (MI), chronic kidney disease (CKD) and Death. Based on this knowledge of health programs has been developed for the prevention and control of hypertension. Objective: To evaluate the level of BP control, risk factors and cardiovascular outcomes in hypertensive patients registered within the Reference Center for Hypertension and Diabetes (CRHD) of a medium-sized city in the Midwest region for the period 2003-2012 Methodology.: it is about quasi-experimental study with a quantitative approach, performed in specialized service with hypertensive, of both genders, aged over 18 years, registered in HIPERDIA system been followed for at least 6 months. A representative sample of patients the service was investigated by aleatory drawing. Collected data regarding the unit admission and follow-up through home visits, and analyzed: demographic variables, blood pressure, body mass index (BMI), BP measurements, risk factors and cardiovascular outcomes. Data collection was for the period 2003 to 2012, the Chi-square or Fisher tests, Kolmogorov-Student t test, Wilcoxon test were used.; significance level of 0.05, confidence interval of 95%. Results: There was a predominance of females. Over time, a significant increase in the prevalence of overweight, physical inactivity, alcohol consumption, diabetes mellitus and dyslipidemia. Chronic complications have risen 12.4% strokes being observed, followed by MI (10.5%), CKD (10.5%), CABG (6.4%) and finally Death (5.5%). There was a significant improvement (p = 0.001) rates of BP control during follow-up period from 29.6% at admission to 39.6% at follow-up. Conclusion: Despite considerable improvements in the rate of blood pressure control during follow-up of the subjects, these numbers were not encouraging. There were also increases in the presence of risk factors. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-04-30 |
dc.date.accessioned.fl_str_mv |
2016-01-15T09:15:57Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
GUIMARÃES FILHO, G. C. Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência. 2014. 77 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/5106 |
identifier_str_mv |
GUIMARÃES FILHO, G. C. Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em centro de referência. 2014. 77 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/5106 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-1006864312617745310 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
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dc.rights.driver.fl_str_mv |
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