Some approaches to dispanserization of patients with hypertensive disease at territorial internist's area

Aim. To study creatinine clearance, body mass index and to perform ROSE survey amomg patients with hypertension of different age groups at territorial internist's area.

Methods. The study involved 112 patients aged 40 to 75 years. Patients were divided into two groups according to the age: group 1 — 40 to 61 years, 55 people (15 men and 40 women), the average age 52.6±7.1 years; group 2 — 62 to 75 years, 57 people (15 men and 42 women), the average age 69.8±4.4 years. Creatinine clearance and body mass index were measured, and ROSE survey was conducted.

Results. In group 1 creatinine clearance <60 ml/min was in 5 (9%) subjects, in group 2 — in 20 (35%; p=0.002). In group 1 15 (27%) subjects had normal body mass, in group 2 — 5 (9%). In group 1 overweight was registered in 18 (33%) subjects, and in group 2 — in 24 (42%; p=0.407). Class I obesity in group 1 was found in 15 (27%) patients, in group 2 — in 16 (28%; p=0.907). Class II obesity in group 1 was noted in 5 (9%) patients, in group 2 — in 4 (7%; p=0.955). Class III obesity in group 1 was registered in 2 (4%) people and in 8 (14%) in group 2 (p=0.110). According to the results of ROSE questionnaire, signs of angina pectoris were found in 7 (13%) patients in group 1 and 17 (30%) in group 2 (p=0.048).

Conclusion. In the territorial internist's area the proportion of cases of overweight and obesity among patients of groups 1 and 2 with hypertension did not differ significantly (p >0.05); in patients from group 2 with hypertension creatinine clearance less than 60 ml/min was identified 3.9 times more often than in the younger age group (p=0.002); in patients of group 2 with hypertension were 2.3 times more likely to have angina, according to ROSE questionnaire than in group 1 (p=0.048).