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- Title
Vérnyomáscsökkentés nagyon idős és esendő állapotú betegeknél: az alapellátásbeli gyakorlat kérdései.
- Authors
Péter, TORZSA; László, KALABAY; Dalma, CSATLÓS; Csenge, HARGITTAY; Bernadett, MÁRKUS; András, MOHOS; Mátyás, SZIGETI; Tamás, FERENCI; VERSCHOOR, Marjolein; ROZSNYAI, Zsófia; GUSSEKLOO, Jacobijn; POORTVLIET, Rosalinde K. E.; STREIT, Sven
- Abstract
We conducted an online questionnaire survey with 2543 family physicians to analyse the variation in antihypertensive therapy among very elderly primary care patients (over 80 years of age) with different characteristics in terms of prevalence, SBP and CVD. We also sought answers to our question of how much their treatment decisions are influenced by their elderly frailty. Another aim of our study was to compare Hungarian results with international results. We compared the proportion of cases in which family doctors decided in favour of treatment across countries. In 24 of the 29 countries (83%), family physicians associated the patient's frailty with the decision not to initiate treatment. The lowest treatment rate was in the Netherlands and the highest rate in Ukraine. Hungary was one of the countries where family physicians preferred to treat patients with frailty (treatment rates ranged from 50-59%). Patient’s frailty did not influence the initiation of therapy, cardiovascular disease and SBP above 160 mmHg were more important. The main message from the study was the need for continued education of family physicians and family medicine residents on the management of elderly, frail hypertensive patients.
- Subjects
UKRAINE; HUNGARY; NETHERLANDS; PHYSICIANS' assistants; RESIDENTS (Medicine); FAMILY medicine; HYPERTENSION; FRAILTY
- Publication
Hypertonia és Nephrologia, 2022, Vol 26, Issue 6, p267
- ISSN
1418-477X
- Publication type
Article
- DOI
10.33668/hn.26.027