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    Hiertensi

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    Cindy AmeLiyana Part II
    This study examined the relationship between medication adherence, blood pressure control, and risk of hospitalization among 29,685 hypertensive patients in Taiwan. The researchers found that 85.5% of patients were adherent to their medication, filling prescriptions for at least 80% of days. Poor medication adherence was associated with worse blood pressure control, higher risk of cardiovascular disease hospitalization, and higher risk of hospitalization for any cause. Specifically, poor adherence increased the odds of poor blood pressure control by 20%, increased the odds of cardiovascular hospitalization by 43%, and increased the odds of any hospitalization by 47%. The study concluded that lower medication adherence is linked to poorer blood pressure control and increased cardiovascular risk and risk of hospitalization

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    Hiertensi

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    Cindy AmeLiyana Part II
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    This study examined the relationship between medication adherence, blood pressure control, and risk of hospitalization among 29,685 hypertensive patients in Taiwan. The researchers found that 85.5% of patients were adherent to their medication, filling prescriptions for at least 80% of days. Poor medication adherence was associated with worse blood pressure control, higher risk of cardiovascular disease hospitalization, and higher risk of hospitalization for any cause. Specifically, poor adherence increased the odds of poor blood pressure control by 20%, increased the odds of cardiovascular hospitalization by 43%, and increased the odds of any hospitalization by 47%. The study concluded that lower medication adherence is linked to poorer blood pressure control and increased cardiovascular risk and risk of hospitalization

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    Pengaruh hipertensi sangat dominan dalam kelangsungan hidup manusia

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    This study examined the relationship between medication adherence, blood pressure control, and risk of hospitalization among 29,685 hypertensive patients in Taiwan. The researchers found that 85.5% of patients were adherent to their medication, filling prescriptions for at least 80% of days. Poor medication adherence was associated with worse blood pressure control, higher risk of cardiovascular disease hospitalization, and higher risk of hospitalization for any cause. Specifically, poor adherence increased the odds of poor blood pressure control by 20%, increased the odds of cardiovascular hospitalization by 43%, and increased the odds of any hospitalization by 47%. The study concluded that lower medication adherence is linked to poorer blood pressure control and increased cardiovascular risk and risk of hospitalization

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    © All Rights Reserved
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    13 views2 pages

    Hiertensi

    Uploaded by

    Cindy AmeLiyana Part II
    This study examined the relationship between medication adherence, blood pressure control, and risk of hospitalization among 29,685 hypertensive patients in Taiwan. The researchers found that 85.5% of patients were adherent to their medication, filling prescriptions for at least 80% of days. Poor medication adherence was associated with worse blood pressure control, higher risk of cardiovascular disease hospitalization, and higher risk of hospitalization for any cause. Specifically, poor adherence increased the odds of poor blood pressure control by 20%, increased the odds of cardiovascular hospitalization by 43%, and increased the odds of any hospitalization by 47%. The study concluded that lower medication adherence is linked to poorer blood pressure control and increased cardiovascular risk and risk of hospitalization

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    Relationship of Blood Pressure Control and Hospitalization Risk to Medication

    Adherence Among Patients With Hypertension in Taiwan

    I. Background
    Along with the many problems in adherence to taking medication in hypertensive patients,
    making efficacy of antihypertensive treatment in preventing cardiovascular complications is
    hampered. The aim of this study was to examine medication adherence and its relationship to
    blood pressure control (BP), cardiovascular disease (CVD) hospitalization, and all causes of
    hospitalization.
    II. Method
    Medical and pharmaceutical claims were obtained from the Taiwan National Health Insurance
    (NHI) database. To determine the level of adherence to taking medication, we calculated the
    proportion of closed days (PDC) by filling a prescription. Treatment association with BP control,
    CVD hospitalization, and all hospital care were examined using several logistic regression
    models.
    III. Result
    The subjects studied were 29,685 hypertensive patients. Of the total, 40.1% of patients had a
    hypertensive history of more than 5 years and 39.7% of patients had multiple comorbidities.
    Overall, 85.5% of patients were categorized as adherent, with PDC more than equal to 80; 60%
    of adherent patients have good BP control. Poor treatment adherence was associated with poor
    BP control (odds ratio (OR) = 1.20, 1.13-1.29), CVD hospitalization (OR = 1.43, 1.14-1.81), and
    all causes of hospitalization (OR = 1.47, 1.21-1.78).
    IV. Conclusion
    From the observational studies we have done clearly show that lower medication adherence is
    associated with poor BP control and higher CVD risk and all causes of hospitalization in
    hypertensive patients.
    The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and
    Treatment of High Blood Pressure identifies the main cause for poor control of BP is poor adherence
    to treatment. In addition to so low treatment rates, low levels of BP control illustrate poor adherence
    to treatment. With the limited data that is available from the National Taiwan Health Insurance
    program (NHI) and electronic records of disease management programs, a retrospective cohort of
    patients was observed to investigate medication adherence and its relationship to BP control, CVD
    hospitalization, and all-cause hospitalization.

    METHODS
    The mandatory NHI system has been implemented in Taiwan since 1995. This system requires all
    claims, including outpatient, inpatient and pharmaceutical claims, to be submitted electronically.
    Compliance with taking medication. To determine the level of medication adherence, the proportion
    of closed days (PDC) was calculated by filling the prescription, which was measured as the number
    of days given with the prescribed filled divided by the total day of each patient's observation period.

    RESULTS
    Univariate analysis of predictors for poor BP control, CVD hospitalization, and all causes of
    hospitalization. Adherence levels, male gender, current smoking, current drinking, obesity,
    hyperlipidemia, history of hypertension, Charlson's comorbidity index, and number of drugs were
    potential predictors of poor BP control. Adherence, age, history of hypertension over 5 years,
    Charlson comorbidity index, and number of drugs were potential predictors of CVD and all causes
    of hospitalization.

    DISCUSSION
    Only from a number of observational studies have shown that medication adherence benefits are
    related to reduced mortality or risk of hospitalization for hypertensive patients. Termination of the
    use of antihypertensive drugs is associated with an increased risk of coronary heart disease. All the
    risks of hospitalization in reality are lower in obedient patients, compared to patients who are not
    adherent. The latest, high adherence to antihypertensive drugs has been found to reduce the risk of
    cerebrovascular disease in the context of real practice.

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