- Email: [email protected]
Hypertension detection programs - A comparison study
136
ABSTRACTS:
A-31
ANTIHYPERTENSIVE Brenda
M. Brandon,
Baltimore Street, Apostolides.
AND DIURETIC
University Baltimore,
HIGH
BLOOD
PRESSURE CONTROL
USE IN A BLACK
INNER
CITY
POPULATION.
of Maryland School of Medicine, Maryland 21201; George Entwisle;
655 West Aristide
The importance of collecting data on the prescribing trends of antihypertensive In 1977, three of drugs is evidenced by the widespread use of these agents: the top ten most frequently prescribed drugs in the U.S. were antihypertensive Furosemide, a potent diuretic recommended for use only in hypermedications. tensive patients with severely impaired renal function, was, in 1977, the third The popularity of furosemide far most frequently prescribed drug in the U.S. surpassed the mxe rational and safer thiazide diuretic, hydrochlorothiazide. As part of a study to determine hypertension incidence in a high-risk, adult, 3307 individuals known to be normotensive in 1973black, inner-city population, Included in the battery of items asked to 1974 were re-examined in 1976-1977. these individuals, was a set of specific drug-related questions allowing us to Analysis of this data collect data reflecting drug use trends in this population. demonstrated that diuretics were the most frequently prescribed therapeutic Fifty-two per cent category, accounting for about 12% of the total (210/1674). (110/210) of all reported diuretics were thiazides while approximately 14% was furosemide. In light of this apparent popularity of potassium depleting diuretics, it is surprising to note that potassium replacement therapy accounted Antihypertensives accounted for 5.3% for less than 2% (19/1674 of all drugs. of which were fixed-dosed combi(86/1674) of all reported drugs; 49% (42/86) nation products. These data illustrate drug use trends in a black adult inner city population and reflect the prescribing patterns among physicians treating these individuals.
A-32 HYPERTENSION Robert J. 16th St.,
DETECTION
University Braun, Milwaukee, WI
PROGRAMS - A COMPARISON of 53233;
Marquette, Virginia
School Goral.
STUDY of
Dentistry,
604
N.
Because of the dental schools' involvement as a screening site for we looked at similarities and differences in high blood pressure, patient populations to see if different populations exhibit similar hypertensive profiles. Specifically, we wished to provide support for hypertension screening in private practice settings. The objective of the study was to demonstrate the necessity of a screening effort and its cost effectiveness. Our hypothesis was that any population would show similar content regarding percent of detected hypertensives as well as similar male/female and race ratio as the national The populations studied were: norms. All patients presenting for treatment at a large metropolitan den1) tal school. presenting for treatment in a dental office located 2) All patients in a large metropolitan area. Persons who presented to a blood pressure screening site of a per3) manent program in a large metropolitan area. Statistical analysis of the data support the hypothesis that supposedly select populations (i.e. a dentist's office) exhibit similar characteristics of the population at large. This correlation holds for age/sex/race groupings as well. This study is unique in that the three groups analyzed have not been previously compared. The study gives support for efforts concerning implementation of screening for hypertensives by all health practitioners.
ABSTRACTS:
A-31
ANTIHYPERTENSIVE Brenda
M. Brandon,
Baltimore Street, Apostolides.
AND DIURETIC
University Baltimore,
HIGH
BLOOD
PRESSURE CONTROL
USE IN A BLACK
INNER
CITY
POPULATION.
of Maryland School of Medicine, Maryland 21201; George Entwisle;
655 West Aristide
The importance of collecting data on the prescribing trends of antihypertensive In 1977, three of drugs is evidenced by the widespread use of these agents: the top ten most frequently prescribed drugs in the U.S. were antihypertensive Furosemide, a potent diuretic recommended for use only in hypermedications. tensive patients with severely impaired renal function, was, in 1977, the third The popularity of furosemide far most frequently prescribed drug in the U.S. surpassed the mxe rational and safer thiazide diuretic, hydrochlorothiazide. As part of a study to determine hypertension incidence in a high-risk, adult, 3307 individuals known to be normotensive in 1973black, inner-city population, Included in the battery of items asked to 1974 were re-examined in 1976-1977. these individuals, was a set of specific drug-related questions allowing us to Analysis of this data collect data reflecting drug use trends in this population. demonstrated that diuretics were the most frequently prescribed therapeutic Fifty-two per cent category, accounting for about 12% of the total (210/1674). (110/210) of all reported diuretics were thiazides while approximately 14% was furosemide. In light of this apparent popularity of potassium depleting diuretics, it is surprising to note that potassium replacement therapy accounted Antihypertensives accounted for 5.3% for less than 2% (19/1674 of all drugs. of which were fixed-dosed combi(86/1674) of all reported drugs; 49% (42/86) nation products. These data illustrate drug use trends in a black adult inner city population and reflect the prescribing patterns among physicians treating these individuals.
A-32 HYPERTENSION Robert J. 16th St.,
DETECTION
University Braun, Milwaukee, WI
PROGRAMS - A COMPARISON of 53233;
Marquette, Virginia
School Goral.
STUDY of
Dentistry,
604
N.
Because of the dental schools' involvement as a screening site for we looked at similarities and differences in high blood pressure, patient populations to see if different populations exhibit similar hypertensive profiles. Specifically, we wished to provide support for hypertension screening in private practice settings. The objective of the study was to demonstrate the necessity of a screening effort and its cost effectiveness. Our hypothesis was that any population would show similar content regarding percent of detected hypertensives as well as similar male/female and race ratio as the national The populations studied were: norms. All patients presenting for treatment at a large metropolitan den1) tal school. presenting for treatment in a dental office located 2) All patients in a large metropolitan area. Persons who presented to a blood pressure screening site of a per3) manent program in a large metropolitan area. Statistical analysis of the data support the hypothesis that supposedly select populations (i.e. a dentist's office) exhibit similar characteristics of the population at large. This correlation holds for age/sex/race groupings as well. This study is unique in that the three groups analyzed have not been previously compared. The study gives support for efforts concerning implementation of screening for hypertensives by all health practitioners.