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Sex Differences in Clinical Parameters, Pharmacological and Health-Resource Utilization in a Population With Hypertension Without a Diagnosis of COVID-19.
Lear-Claveras, Ana; Oliván-Blázquez, Bárbara; Clavería, Ana; Couso-Viana, Sabela; Puente-Comesaña, Jesús; Magallón Botaya, Rosa.
  • Lear-Claveras A; Aragonese Research Group in Primary Care (Grupo Aragonés de Investigación en Atención Primaria/GAIAP), Aragón Health Research Institute, Zaragoza, Spain.
  • Oliván-Blázquez B; Aragonese Research Group in Primary Care (Grupo Aragonés de Investigación en Atención Primaria/GAIAP), Aragón Health Research Institute, Zaragoza, Spain.
  • Clavería A; Department of Psychology and Sociology, Faculty of Social Sciences, University of Zaragoza, Zaragoza, Spain.
  • Couso-Viana S; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain.
  • Puente-Comesaña J; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain.
  • Magallón Botaya R; I-Saúde Group, Galicia South Health Research Institute, Vigo, Spain.
Int J Public Health ; 67: 1604913, 2022.
Article in English | MEDLINE | ID: covidwho-2023041
ABSTRACT

Objectives:

Determine the changes in clinical, pharmacological and healthcare resource use parameters, between the 6 months prior to the lockdown and the 6 months following its end, in a population with hypertension who did not have a diagnosis of COVID-19.

Methods:

Real world data observational study of 245,979 persons aged >16 years with hypertension in Aragon (Spain). Clinical (systolic-diastolic blood pressure, estimated glomerular filtration rate (eGFR), blood creatinine, cholesterol, triglycerides and anthropometric measures); pharmacological (diuretics, calcium channel antagonists, and ACE inhibitors); and utilization of healthcare resources were considered. We performed the Student's T-test for matched samples (quantitative) and the Chi-squared test (qualitative) to analyze differences between periods.

Results:

SBP, DBP, parameters of renal function and triglycerides displayed a significant, albeit clinically irrelevant, worsening in women. In men only DBP and eGFR showed a worsening, although to a lesser extent than in women. Certain antihypertensive drugs and health-resource utilization remained below pre-pandemic levels across the 6 months post-lockdown.

Conclusion:

Changes in lifestyles, along with difficulties in access to routine care has not substantially compromised the health and quality of life of patients with hypertension.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Hypertension Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research Limits: Female / Humans / Male Language: English Journal: Int J Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: Ijph.2022.1604913

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Hypertension Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research Limits: Female / Humans / Male Language: English Journal: Int J Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: Ijph.2022.1604913