Publication:
Evaluation of blood pressure status and mortality in Turkey: findings from chronic diseases and risk factors cohort study

dc.contributor.coauthorSozmen, Kaan
dc.contributor.coauthorErgor, Gul
dc.contributor.coauthorDinc Horasan, Gonul
dc.contributor.coauthorSahan, Ceyda
dc.contributor.coauthorEkinci, Banu
dc.contributor.coauthorArikan, Ahmet
dc.contributor.coauthorSis, Secil
dc.contributor.coauthorUnal, Belgin
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorSakarya, Sibel
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2025-01-19T10:34:04Z
dc.date.issued2023
dc.description.abstractBackground and objectives: An important Non-Communicable Disease risk factor, hypertension (HT), is highly prevalent and controlled HT rates are not sufficient which increases the risk of developing premature deaths. The purpose of the study is to evaluate differences in all-cause and cardiovascular-related mortality according to HT status by using national data from Chronic Diseases and Risk Factors Survey in Turkey (2011-2017).Materials and Methods: Cox regression models were used to estimate hazard ratios (HR) for predicting the all-cause and cardiovascular system-related mortalities. Median follow-up period was 6.2 years.Results: Among individuals with HT, 41.8% was untreated, 30.1% received treatment and had controlled blood pressure, and 28.1% were under treatment but had uncontrolled BP levels. The hazard for mortality among treated & uncontrolled hypertensive participants was significantly higher for all-cause (HR = 1.32, 95% CI = 1.06-1.65), cardiovascular (HR = 2.11, 95% CI = 1.46-3.06), heart disease (HR = 2.24, 95% CI = 1.46-3.43), and Coronary Heart Disease mortality (HR = 2.66, 95% CI = 1.56-4.53) compared to normotensive participants.Conclusions: Individuals with HT who were treated but do not have controlled blood pressure in Turkey had a significantly increased risk of Cardiovascular Disease and all-cause mortality. Along with studies investigating the causes of uncontrolled blood pressure despite initiation of treatment, support should be provided to patients in cases of non-adherence to antihypertensive medication or life change recommendations.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue8
dc.description.openaccessgold
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipWe are grateful to all family physicians and participants in the study for their active cooperation. We acknowledge the Ministry of Health and Social Security Institution of Turkey for their financial support and technical assistance.
dc.description.volume59
dc.identifier.doi10.3390/medicina59081366
dc.identifier.eissn1648-9144
dc.identifier.issn1010-660X
dc.identifier.quartileQ1
dc.identifier.scopus2-s2.0-85168755308
dc.identifier.urihttps://doi.org/10.3390/medicina59081366
dc.identifier.urihttps://hdl.handle.net/20.500.14288/26722
dc.identifier.wos1055458300001
dc.keywordsArterial hypertension
dc.keywordsCohort study
dc.keywordsSurvival
dc.keywordsCardiovascular disease
dc.language.isoeng
dc.publisherMDPI
dc.relation.grantnoWe are grateful to all family physicians and participants in the study for their active cooperation. We acknowledge the Ministry of Health and Social Security Institution of Turkey for their financial support and technical assistance.; Ministry of Health and Social Security Institution of Turkey
dc.relation.ispartofMedicina-Lithuania
dc.subjectMedicine
dc.titleEvaluation of blood pressure status and mortality in Turkey: findings from chronic diseases and risk factors cohort study
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorSakarya, Sibel
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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