PHC visits trends effects on control of blood pressure for hypertensive patients following up in PHCs in Makkah, Saudi Arabia
Keywords:
blood pressure, healthcare delivery, hypertension, primary healthcare, visit patternAbstract
Hypertension is a major risk factor for cardiovascular disease, stroke, and kidney disease. In Saudi Arabia, the prevalence of hypertension is estimated to be 14%. Primary health care centers (PHCCs) play a major role in the diagnosis, treatment, and follow-up of hypertensive patients in Saudi Arabia. This study employed a cross-sectional design to collect data from medical records of hypertension patients registered with primary health care centers (PHCCs) in Makkah, Saudi Arabia. The data was obtained through a comprehensive review of these medical records. Out of the 16,623 patients included in the study, the average annual visit frequency was 5.5 for females and 6 for males. 65.6% (10,910 patients) completed all four annual visits. There was no statistically significant difference in visit completion rates between males and females. The visit count was found to be negatively correlated with Systolic BP (-0.151, 95% CI [-0.195, -0.165]), Diastolic BP (-0.137, 95% CI [-0.147, -0.117]), and MAP (-0.176, 95% CI [-0.191, -0.161]), with a P-value < 0.001 for all parameters. Our findings indicate that the number of visits to Makkah Primary Health Centers positively influences blood pressure control in hypertensive patients.
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Alenazi, A. M., & Alqahtani, B. A. (2023). National and regional prevalence rates of hypertension in Saudi Arabia: a descriptive analysis using the national survey data. Frontiers in public health, 11, 1092905. DOI: https://doi.org/10.3389/fpubh.2023.1092905
Almalki, M., FitzGerald, G., & Clark, M. (2011). Health care system in Saudi Arabia: an overview. EMHJ-Eastern Mediterranean Health Journal, 17(10), 784-793, 2011. DOI: https://doi.org/10.26719/2011.17.10.784
American Heart Association. (n.d.). High blood pressure awareness, control improved with better access to primary health care.
Fang, Z., Pei, T., Song, C., Yan, X., Liu, L., Guo, S., ... & Chen, J. (2024). Revealing the heterogeneity of periodic visiting patterns across different ages and spaces using a flexible detection method: A case study of Beijing. Applied Geography, 168, 103315. https://doi.org/10.1016/j.apgeog.2024.103315 DOI: https://doi.org/10.1016/j.apgeog.2024.103315
Forouzanfar, M. H., Liu, P., Roth, G. A., Ng, M., Biryukov, S., Marczak, L., ... & Murray, C. J. (2017). Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990-2015. Jama, 317(2), 165-182. DOI: https://doi.org/10.1001/jama.2016.19043
Guo, Y. B., Zheng, Z. X., Kong, L. J., Guo, W., Yan, Z. M., Cui, L. Z., & Wang, X. F. (2022). A novel multi-view bi-clustering method for identifying abnormal co-occurrence medical visit behaviors. Methods, 207, 65-73. https://doi.org/10.1016/j.ymeth.2022.09.004 DOI: https://doi.org/10.1016/j.ymeth.2022.09.004
Harrison, D. G., Gongora, M. C., Guzik, T. J., & Widder, J. (2007). Oxidative stress and hypertension. Journal of the American Society of Hypertension, 1(1), 30-44. https://doi.org/10.1016/j.jash.2006.11.006 DOI: https://doi.org/10.1016/j.jash.2006.11.006
Jia, P., Lee, H. W., Chan, J. Y., Yiu, K. K., & Tsoi, K. K. (2021). Long-term blood pressure variability increases risks of dementia and cognitive decline: a meta-analysis of longitudinal studies. Hypertension, 78(4), 996-1004. DOI: https://doi.org/10.1161/HYPERTENSIONAHA.121.17788
Kannel, W. B. (2000). Elevated systolic blood pressure as a cardiovascular risk factor. The American journal of cardiology, 85(2), 251-255. https://doi.org/10.1016/S0002-9149(99)00635-9 DOI: https://doi.org/10.1016/S0002-9149(99)00635-9
Kjeldsen, S. E. (2018). Hypertension and cardiovascular risk: General aspects. Pharmacological research, 129, 95-99. https://doi.org/10.1016/j.phrs.2017.11.003 DOI: https://doi.org/10.1016/j.phrs.2017.11.003
Levine, D. M., Dixon, R. F., & Linder, J. A. (2018). Association of structured virtual visits for hypertension follow-up in primary care with blood pressure control and use of clinical services. Journal of general internal medicine, 33, 1862-1867. DOI: https://doi.org/10.1007/s11606-018-4375-0
Mars, M. (2013). Telemedicine and advances in urban and rural healthcare delivery in Africa. Progress in cardiovascular diseases, 56(3), 326-335. https://doi.org/10.1016/j.pcad.2013.10.006 DOI: https://doi.org/10.1016/j.pcad.2013.10.006
Martin, M., Browner, W., Hulley, S., Kuller, L., & Wentworth, D. (1986). Serum cholesterol, blood pressure, and mortality: implications from a cohort of 361 662 men. The Lancet, 328(8513), 933-936. https://doi.org/10.1016/S0140-6736(86)90597-0 DOI: https://doi.org/10.1016/S0140-6736(86)90597-0
Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., ... & He, J. (2016). Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation, 134(6), 441-450. DOI: https://doi.org/10.1161/CIRCULATIONAHA.115.018912
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223-237. DOI: https://doi.org/10.1038/s41581-019-0244-2
Pio-Abreu, A., & Drager, L. F. (2020). Controle da Pressão Arterial: O Segredo é... Trabalho em Equipe!. Arquivos Brasileiros de Cardiologia, 115(2), 182-183. DOI: https://doi.org/10.36660/abc.20200544
Quan, H., Khan, N., Hemmelgarn, B. R., Tu, K., Chen, G., Campbell, N., ... & McAlister, F. A. (2009). Validation of a case definition to define hypertension using administrative data. Hypertension, 54(6), 1423-1428. DOI: https://doi.org/10.1161/HYPERTENSIONAHA.109.139279
Rahman, R., & Qattan, A. (2021). Vision 2030 and sustainable development: state capacity to revitalize the healthcare system in Saudi Arabia. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 0046958020984682. DOI: https://doi.org/10.1177/0046958020984682
Rush, K. L., Howlett, L., Munro, A., & Burton, L. (2018). Videoconference compared to telephone in healthcare delivery: a systematic review. International journal of medical informatics, 118, 44-53. https://doi.org/10.1016/j.ijmedinf.2018.07.007 DOI: https://doi.org/10.1016/j.ijmedinf.2018.07.007
Sembiring, T. B., Maruf, I. R., Susilo, C. B., Hidayatulloh, A. N., & Bangkara, B. M. A. S. A. (2022). Health literacy study on approaching forest and boosting immune system strategy. International Journal of Health Sciences, 6(1), 40–49. https://doi.org/10.53730/ijhs.v6n1.3145 DOI: https://doi.org/10.53730/ijhs.v6n1.3145
Skoog, I., Nilsson, L., Persson, G., Lernfelt, B., Landahl, S., Palmertz, B., ... & Svanborg, A. (1996). 15-year longitudinal study of blood pressure and dementia. The Lancet, 347(9009), 1141-1145. https://doi.org/10.1016/S0140-6736(96)90608-X DOI: https://doi.org/10.1016/S0140-6736(96)90608-X
Tong, S. T., Webel, B. K., Donahue, E. E., Richards, A., Sabo, R. T., Brooks, E. M., ... & Krist, A. H. (2021). Understanding the value of the wellness visit: A descriptive study. American journal of preventive medicine, 61(4), 591-595. https://doi.org/10.1016/j.amepre.2021.02.023 DOI: https://doi.org/10.1016/j.amepre.2021.02.023
Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., ... & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2020). Heart disease and stroke statistics—2020 update: a report from the American Heart Association. Circulation, 141(9), e139-e596. DOI: https://doi.org/10.1161/CIR.0000000000000746
World Health Survey-Saudi Arabia. (n.d.).
Zhou, B., Bentham, J., Di Cesare, M., Bixby, H., Danaei, G., Cowan, M. J., ... & Cho, B. (2017). Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19· 1 million participants. The Lancet, 389(10064), 37-55. DOI: https://doi.org/10.1016/S0140-6736(16)31919-5
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