Electronic ISSN 2287-0237

VOLUME

HYPERTENSION REGISTRY AT THE BANGKOK HOSPITAL MEDICAL CENTER, BANGKOK THAILAND: 2-YEAR EXPERIENCE

FEBRUARY 2015 - VOL.9 | ORIGINAL ARTICLE
OBJECTIVES:

The Hypertension Registry at the Bangkok Hospital Medical Center has been working since June 2012. We reported on the first 7 months of 647 registry cases in February 2013. The purpose of this study was to compare and highlight the Registry profile after 2 years in operation. The findings gained from this study are aimed at optimizing service efficiency resulting in better quality of care for patients with hypertension.

MATERIALS AND METHODS:

Descriptive analysis using absolute number and percentage was used to draw comparisons between the characteristics of the updated registrants and the registrants from the first 7 months.

RESULTS:

By  the end of a 2-year period, the number of active registered cases  went up to 3,698 cases compared to 647 cases after the first 7 months of the Registry (December 2012). A total of 1,159 cases were discharged because of lack of follow-up for more than 12 months. Younger registrants, under 21 years of age, took part in the program. The most common associated cardiovascular risk factors included dyslipidemia and diabetes mellitus, and the smoking risk factor has increased significantly. In comparison the history of risk factors and associated diseases at 7 and 24 months from the number of patients have increased. The statistic data of dyslipidemia, diabetes mellitus, heart, kidney diseases, stroke and peripheral vascular disease are not significant changes but in contrast the smoking causes have increased significantly. Angiotensin receptor blocker was still the most commonly used medication in hyper- tensive care, followed by dihydropyridine calcium channel blocker and beta blocker respectively. Almost half of registrants were successful in achieving blood pressure control. 

CONCLUSION:

The Hypertensive Registry at the 2-year point now provides more information beyond individual case treatments. The risk factors of dyslipidemia, diabetes mellitus, cardiovascular, kidney and stroke have  not significantly changed   in the first 7 months experience study but in contrast, smoking is increasing significantly. These highlights should be emphasized as a strategy of improving care to hypertensive patients.

Keywords:

hypertension, registry, body mass index, cardiovascular risk, antihypertensive, EKG,Ankle-Brachial Index, Cardio-Ankle Vascular Index, urine microalbumin, Thailand

MEDIA
Figures 1:
Comparing gender distribution of the hypertension registry cases at the first 7 months and at the end of 2 years.
Figures 2:
Comparing age distribution of hypertension registrants after 2 years compared to first 7 months.
Figures 3:
Body mass index distribution of hypertension registrants.
Table 1:
Associated risk factors.
Table 2:
Investigations ordered for the hypertension registrants.
Figures 4:
EKG findings (n = 848, 22.9% of total registrants)
Figures 5:
Chest X-ray findings (n = 962, 26% of registrants)
Figures 6:
CAVI measurement for vascular stiffness assessment (n = 619, 16.7% of registrants)
Figures 7:
ABI measurement (16.7% of whole registrants)
Figures 8:
Results of urine microalbumin/creatinine ratio (UACR) (n = 830 cases, 22.4% of registrants)
Table 3:
Number of antihypertensive medication use.
Table 4:
Group of antihypertensive medications use.
Table 5:
Blood pressure goal achievement.
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