Skip to main content
NCBI home page
Atencion Primaria logoLink to Atencion Primaria
. 2008 Dec 11;35(1):7–12. [Article in Spanish] doi: 10.1157/13071038

Estudio DISEHTAC II: diagnóstico y seguimiento de la hipertensión arterial en Cataluña. Comparación con los datos de 1996

The disehtac ii study: diagnosis and follow-up of hypertension in catalonia. Comparison with 1996 data

M Benítez Camps a,⁎, S Pérez Zamora b, A Dalfó Baqué a, MM Piqueras Garre a, G Losada Doval a, MA Vila Coll a
PMCID: PMC7669093  PMID: 15691448

Abstract

Objective

To evaluate the changes in the diagnosis and follow-up of hypertension, and in the evaluation of cardiovascular risk, in a population served by primary care centers in Catalonia (northeastern Spain). Management was evaluated with indicators published in the Guidelines for Hypertension for Primary Care (Guía de Hipertensión Arterial para la Atención Primaria).

Design

Multicenter, observational, before-after design (1996-2001).

Setting

Primary care.

Participants

Twelve primary care centers chosen from among the 31 centers that took part in the DISEHTAC I study (1996), with a total of 990 patient records.

Main measures

We analyzed age, sex, date of diagnosis of hypertension, number of blood pressure measurements needed for diagnosis, use of the mean value of duplicate blood pressure determinations, values for all blood pressure measurements in 2001, blood pressure determinations during the preceding 6 months, screening for and diagnosis of diabetes, dyslipidemia, smoking, obesity, and left ventricular hypertrophy.

Results

Of the 171 new cases of hypertension, 16.7% were diagnosed from at least 3 duplicate blood pressure measurements or as a result of acute episodes of hypertension. About one third (32.4%) of the patients with hypertension had blood pressure values below 140 and 90 mm Hg (25.7% in 1996), and the difference between the 2 sets of survey results was statistically significant. In three fourths (75.4%) of the patients, blood pressure had been measured during the preceding 6 months; this percentage was not significantly different in comparison to the figure found in 1996. Screening to detect cardiovascular risk factors was done in 50.4% of the patients (63.1% in 1996).

Conclusions

Follow-up for hypertension in Catalonia has improved notably since 1996, but there was no improvement in the diagnosis of risk factors or in the integral evaluation of cardiovascular risk.

Key words: Diagnosis of Hypertension, Control of Hypertension, Follow-up of Hypertension

Bibliografía

  • 1.Plans P., Tesserras R., Pardell H., Salleras L. Epidemiología de la hipertensión arterial en la población adulta de Cataluña. Med Clin (Barc) 1992;98:369–372. [PubMed] [Google Scholar]
  • 2.Kannel W.B., Dammer T.R. Mc-Graw-Hill; New York: 1977. Importance of hypertension as a riskfactor in cardiovascular disease. Hypertension. [Google Scholar]
  • 3.De la Figuera M., Dalfó A. Hipertensión arterial. In: Martín Zurro A., Cano Pérez J.F., editors. Atención primaria. Conceptos, organización y práctica clínica. 5.ª ed. Elsevier; Madrid: 2003. pp. 764–798. [Google Scholar]
  • 4.Subías Loren P.J., Bauzá Nicolay K., Casanovas Cuquet E., García Mata J.R., Iglesias Rodal M., Jiménez Villa J. Evaluación del PAAPS. Aten Primaria. 2001;28(Supl 2):5–11. [PubMed] [Google Scholar]
  • 5.Wolf-Maier K., Cooper R., Banegas J.R., Giampaoli S., Hense H., Joffres M. Hypertension prevalence and blood pressure levels in 6 European Countries, Canada and the United Status. JAMA. 2003;289:2363–2369. doi: 10.1001/jama.289.18.2363. [DOI] [PubMed] [Google Scholar]
  • 6.Dalfó A., Escribá J.M., Benítez M., Vila M.A., Senar E., Tovillas F. Diagnóstico y seguimiento de la hipertensión arterial en cataluña. Estudio DISEHTAC. Aten Primaria. 2001;28:305–310. doi: 10.1016/S0212-6567(01)70380-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Grupo de trabajo en hipertensión arterial . Edide; Barcelona: 1995. Hipertensión arterial para la atención primaria. Sociedad Catalana de Medicina Familiar y Comunitaria. [Google Scholar]
  • 8.Grupo de trabajo en hipertensión arterial . Edide; Barcelona: 1999. Hipertensión arterial para la atención primaria. Sociedad Catalana de Medicina Familiar y Comunitaria. [Google Scholar]
  • 9.The Sixth report of The Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Arch Intern Med. 1997;157:2413-46. [DOI] [PubMed]
  • 10.1999 World Health Organitzation Internacional Society of Hipertensión. Guidelines for de management of hypertension. Guidelines Subcommittee. J Hypertens. 1999;17:151–183. [PubMed] [Google Scholar]
  • 11.Kannel W.B., McGee D., Gordon T. A general cardiovascular risk profile: the Framingham study. Am J Cardiol. 1976;38:46–51. doi: 10.1016/0002-9149(76)90061-8. [DOI] [PubMed] [Google Scholar]
  • 12.Chobanian A., Bakris G., Black H., Cushman W., Green L., Izzo J. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. The JNC 7 Report. JAMA. 2003;19:2560–2574. doi: 10.1001/jama.289.19.2560. [DOI] [PubMed] [Google Scholar]
  • 13.Guidelines Committee 2003 European Society of hypertension-European Society of cardiology guidelines for the managementof arterial hipertensión. J Hypertens. 2003;21:1011–1053. doi: 10.1097/00004872-200306000-00001. [DOI] [PubMed] [Google Scholar]
  • 14.Coca A. Evolución del control de la hipertensión arterial en España. Resultados del estudio controlares 2001. Hipertensión. 2002;19:390–399. [Google Scholar]
  • 15.Coca A. Evolución del control de la hipertensión arterial en España.Resultados del estudio Controlpress-98. Hipertensión. 1998;15:298–307. [Google Scholar]
  • 16.Seculi E., Brugulat P., Medina A., Junca S., Tresserras R., Salleras L. Detection of cardiovascular risk factors in the reformed primary care nerwork in Catalonia. Comparison between the years1995 and 2000. Aten Primaria. 2003;28:156–162. doi: 10.1016/S0212-6567(03)70676-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Coca A., Gabriel R., De la Figuera M., López Sendón J.L., Fernández R., Sagastagoitia J.D. The impact of different echocardiographic diagnostic criteria on the prevalence of left ventricular hypertrophy in essential hipertensión: the VITAE study (Ventrículo Izquierdo Tensión Arterial España) J Hypertension. 1999;14:1471–1480. doi: 10.1097/00004872-199917100-00016. [DOI] [PubMed] [Google Scholar]
  • 18.Lithell H., Hansson L., Skoog I., Elmfedt D., Hofman A., Olofsson B. SCOPE Study on Cognition and prognosis in the elderly. J Hypertens. 2003;21:875–886. doi: 10.1097/00004872-200305000-00011. [DOI] [PubMed] [Google Scholar]
  • 19.Marrugat J., Solanas P., D’Agostino R., Sullivan L., Ordovas J., Cordón F. Estimación del riesgo cardiovascular en España mediante la ecuación de Framingham calibrada. Rev Esp Cardiol. 2003;56:253–261. doi: 10.1016/s0300-8932(03)76861-4. [DOI] [PubMed] [Google Scholar]
  • 20.Conroy R.M., Pyörälä K., Fitzgeralg A.P., Sans S., Menotti A., De Backer G. Estimation of ten-year risck of fatal cardiovascular disease in Europe: the Score project. Eur Heart J. 2003;24:987–1003. doi: 10.1016/s0195-668x(03)00114-3. [DOI] [PubMed] [Google Scholar]
  • 21.Birtwhistle R.V., Godwin M.S., Delva M., Casson R.I., Lam M., MacDonald S.E., For the Hypertension Follow-up Study Group Randomised equivalence trial comparing three month and six month follow up of patients with hypertension by family practitioners. BMJ. 2004;328:204. doi: 10.1136/bmj.37967.374063.EE. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Villar Álvarez F., Maiques Galán A., Brotons Cuixart C., Torcal Laguna J., Lorenzo Piqueres A., Vilaseca J. Prevención cardiovascular en atención primaria. Aten Primaria. 2001;28(Supl 2):13–25. [Google Scholar]
  • 23.American Diabetes Association Report of the expert committee on the diagnosis and clasification of diabetes mellitus. Diabetes Care. 1997;20:1183–1197. doi: 10.2337/diacare.20.7.1183. [DOI] [PubMed] [Google Scholar]

Articles from Atencion Primaria are provided here courtesy of Elsevier

RESOURCES