Clinical audit of adherence to hypertension treatment guideline and control rates in hospitals of different sizes in Thailand
| العنوان: | Clinical audit of adherence to hypertension treatment guideline and control rates in hospitals of different sizes in Thailand |
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| المؤلفون: | Dusida Tooprakai, Kanokporn Pinyopornpanish, James E. Sharman, Bang-on Thepthien, Chaisiri Angkurawaranon, Michael H. Olsen, Pattara Sanchaisuriya, Renu Garg, Elisha Ngetich, Albertino Damasceno, Supattra Srivanichakorn |
| المصدر: | The Journal of Clinical Hypertension Angkurawaranon, C, Pinyopornpanish, K, Srivanichakorn, S, Sanchaisuriya, P, Thepthien, B, Tooprakai, D, Ngetich, E, Damasceno, A, Olsen, M H, Sharman, J E & Garg, R 2021, ' Clinical audit of adherence to hypertension treatment guideline and control rates in hospitals of different sizes in Thailand ', Journal of Clinical Hypertension, vol. 23, no. 4, pp. 702-712 . https://doi.org/10.1111/jch.14193 |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Clinical audit, medicine.medical_specialty, hypertension, Endocrinology, Diabetes and Metabolism, Audit, 030204 cardiovascular system & hematology, Medication Adherence, 03 medical and health sciences, 0302 clinical medicine, Internal Medicine, Humans, Medicine, 030212 general & internal medicine, Dual therapy, Monitoring, Physiologic, Original Paper, Clinical Audit, Hypertension control, Hypertension treatment, business.industry, clinical audit, Guideline, blood pressure control, Thailand, Original Papers, Hospitals, Stratified sampling, Emergency medicine, Guideline Adherence, Cardiology and Cardiovascular Medicine, business, clinical practice guidelines, After treatment |
| الوصف: | A clinical audit of hospitals in Thailand was conducted to assess compliance with the national hypertension treatment guidelines and determine hypertension control rates across facilities of different sizes. Stratified random sampling was used to select sixteen hospitals of different sizes from four provinces. These included community (120 beds) hospitals. Among new cases, the audit determined whether (i) the recommended baseline laboratory assessment was completed, (ii) the initial choice of medication was appropriate based on the patient's cardiovascular risk, and (iii) patients received medication adjustments when indicated. The hypertension control rates at six months and at the last visit were recorded. Among the 1406 patients, about 75% had their baseline glucose and kidney function assessed. Nearly 30% (n = 425/1406) of patients were indicated for dual therapy but only 43% of them (n = 182/425) received this. During treatment, 28% (198/1406) required adjustments in medication but this was not done. The control of hypertension at six months after treatment initiation was 53% varying between 51% in community and 56% in large hospitals (p |
| وصف الملف: | application/pdf |
| تدمد: | 1751-7176 1524-6175 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e59aa0b8ad8867665441d198c7836c42 https://doi.org/10.1111/jch.14193 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e59aa0b8ad8867665441d198c7836c42 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17517176 15246175 |
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