Estudio del uso de fármacos antihipertensivos en ancianos

Resumo

Introduction: The control of hypertension slows or prevents the onset of target organ damage. There are few studies that show whether antihypertensive treatments meet the standards of the Guidelines.Objectives: The objective of this project is to estimate the validity of this initiative in the Centres where it has already started, and also to introduce this initiative to the students of the Master degree of Secondary School, through a training workshop. Materials and methods: We carried-out a descriptive, cross-sectional study on the prescription of anti-hypertensive drugs to aged people. This study was carried out in a Community Health Centre with a reference population of 25,000 inhabitants. Cases: 220 randomly selected stories, collecting clinical data from 14 to 25 November 2011. We analyzed whether antihypertensive drugs used were consistent with the indications of the Guidelines. Results: The most used is the combination of thiazide diuretics with ACE inhibitors, followed by ACE inhibitors alone. Many of the associations have no evidence. The history records are inadequate. Conclusions: In many cases we can not know the suitability of the drug due to lack of records in the medical record. Missing protocolized follow-up schedule for the control of hypertensive patients.