Clinical outcome of hypertension management: A 5-year observational study in Hong Kong

Vivian W.Y. Lee, Tony H.W. Chan, Tina T.L. Ko, Kenneth K.C. Lee, Brian Tomlinson

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Abstract

At the time of this study Tony HW Chan and Tina TL Ko were Master of Clinical Pharmacy degree candidates, School of Pharmacy, The Chinese University of Hong Kong. Objective: This study aimed to investigate the association between inadequately controlled hypertension, medication use pattern and the incidence of cardiovascular events (CVEs) over 5 years. The cost of hospitalisation associated with inadequately controlled hypertension was estimated. Methods: This was a retrospective observational study of patients who were diagnosed with hypertension with at least one blood pressure reading recorded at baseline (year 2000), reviewed from 2001-2005. Primary endpoints were the extent, duration and prevalence of blood pressure deviation from treatment goals. Secondary endpoints were incidence of CVEs and the number of days of hospitalisation associated with inadequately controlled hypertension. Results: In total, the medical records of 210 patients were reviewed. Statistically significant positive associations were found between inadequately controlled systolic blood pressure with the incidence of CVEs (p=0.018) and increased cardiovascular drugs (p<0.001), non-cardiovascular drugs (p=0.019) and total drug usage (p<0.001). Similar observations were observed between inadequately controlled diastolic blood pressure and increased cardiovascular (p<0.05) and total (p=0.007) drug usage. Patients with uncontrolled blood pressure at all times during the study period were associated with a higher incidence of CVEs (p=0.026). The mean cost of hospitalisation due to CVEs was estimated to be HK$42,584.0 ± 36,670.0 (US$1 = HK$7.8) and it accounted for 3.3% of the total healthcare expenditure during 2005. Conclusion: Inadequately controlled blood pressure is positively associated with an increased incidence of CVEs and polypharmacy in Hong Kong Chinese hypertensive patients.

Original languageEnglish
Pages (from-to)101-118
Number of pages18
JournalJournal of Medical Economics
Volume11
Issue number1
DOIs
Publication statusPublished - 2008
Externally publishedYes

Keywords

  • Association
  • Cardiovascular events
  • Cost
  • Hypertension

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