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Vol. 55, No. 7, July 2009, pp.735 - 741
Copyright © 2009 by The College of Family Physicians of Canada
Research |
Hypertension treatment and control rates
Chart review in an academic family medicine clinic
Sara J. Houlihan, Scot H. Simpson, PharmD MSc, Andrew J. Cave, MB ChB MClSc FCFP FRCGP, Nigel W. Flook, MD, Mary E. Hurlburt, MD, Chris J. Lord, MB ChB, Linda L. Smith, MD and Harvey H. Sternberg, MDMs Houlihan is a second-year medical student at the University of Alberta in Edmonton. At the time of this study, she was completing her undergraduate pharmacy degree. Dr Simpson is an Associate Professor with the Faculty of Pharmacy and Pharmaceutical Sciences at the University of Alberta, a Canadian Institutes of Health Research New Investigator, and a clinical pharmacist with the University Hospital Family Medicine Clinic. Drs Cave, Flook, Hurlburt, Lord, Smith, and Sternberg are general practitioners in the University Hospital Family Medicine Clinic and are affiliated with the Department of Family Medicine in the Faculty of Medicine and Dentistry at the University of Alberta
Correspondence: Dr Scot Simpson, University of Alberta, Pharmacy, 3126 Dentistry/Pharmacy Centre, Edmonton, AB T6G 2N8; e-mailssimpson{at}pharmacy.ualberta.ca
OBJECTIVE To characterize hypertension management in an academic family medicine clinic.
DESIGN Cross-sectional chart review.
SETTING Academic family medicine clinic in Edmonton, Alta.
PARTICIPANTS A total of 210 patients with 1 or more visits for hypertension during the previous 3 years.
MAIN OUTCOME MEASURES Patient characteristics, current antihypertensive therapies, most recent blood pressure measurements, and compelling indications according to the 2006 Canadian Hypertension Education Program recommendations.
RESULTS A total of 185 subjects (88%) were prescribed antihypertensive medications, and 89 (42%) had controlled hypertension. Younger subjects, people with diabetes, and people not receiving antihypertensive medication therapy appeared less likely to have controlled hypertension. There were 76 subjects (36%) prescribed 1 antihypertensive medication, 65 subjects (31%) prescribed 2 antihypertensive medications, and 44 (21%) prescribed 3 or more antihypertensive medications. Angiotensin-converting enzyme inhibitors were prescribed for 51% of the subjects, diuretics for 47%, β-blockers for 27%, calcium channel blockers for 23%, angiotensin receptor blockers for 20%, and 
-blockers for 1%.
CONCLUSION Hypertension treatment and control rates in this academic family medicine clinic appear to be better than those in the general population. Following the principles of a continuous quality improvement process, this information will serve as an important foundation for identifying areas to improve hypertension management in the clinic.
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