FEASIBILITY SURVEY ON OUTPATIENT MANAGEMENT OF HYPERTENSION IN ALGERIA

Author(s)

Hammoudi-Bendib N1, Mahi L2, Cherif A3, Girerd X4
1EHS Dr.Maouche (CNMS), Alger, Algeria, 2Axelys Sante DZ, Alger, Algeria, 3Merinal Laboratoires, Alger, Algeria, 4Groupe Hospitalier Universitaire Pitié-Salpêtrière, Paris, France

OBJECTIVES: Hypertension (HT) is a prevalent condition, contributing risk factor to heart failure, heart attack and stroke. Ambulatory blood pressure monitoring (ABPM) is important for improving the diagnosis and management of HT as recommended by the guidelines published by the NICE in the UK in 2011. However there is a lack of data on the follow up of theses guidelines in the Maghreb countries.  We aimed in this survey to assess the management of HT and usage of ABPM in daily practices in Algeria. METHODS: A declarative survey was performed on a panel of 80 cardiologists from private and hospital settings who accepted to answer to a questionnaire on their daily practices on the management of HT. RESULTS: Seventy questionnaires were analyzed with a response rate of 87.5% (64% male), mainly from physicians of private practices 88% (62/70). All the physicians reported having patients with HT (100%). Among them 94% (66/70) estimated the frequency of HT between 30 to 50%. Calculated median frequency is 35%. ABPM is used by 88% of the cardiologists, mainly to confirm a diagnosis of hypertension after initial screening in patients with diabetes (64%), untretaed essential HT (63%), masked HT (34%), gestational HT (34%), “white-coat” effect (28%) and resistant HT (17%). Blood Pressure is routinely and systematically explored by 94% of the physicians. Office measurement of blood pressure is most commonly performed with a manual or automated sphygmomanometer. Cardio-vascular risk factors are systematically explored by all the physicians. After initiation of treatment, patients are followed up at one month and three months by 81% and 14% of the physicians, respectively. CONCLUSIONS: The results of this survey suggest that in Algeria the use of ABPM for the management of hypertensive patients are consisistent with international guidelines.

Conference/Value in Health Info

2016-05, ISPOR 2016, Washington DC, USA

Value in Health, Vol. 19, No. 3 (May 2016)

Code

PMD4

Topic

Epidemiology & Public Health

Topic Subcategory

Disease Classification & Coding, Safety & Pharmacoepidemiology

Disease

Cardiovascular Disorders

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