Hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China.
<h4>Objective</h4>To investigate the association of hyperglycemia with blood pressure control goal in the patients with type 2 diabetes (T2D) cared by tertiary hospitals in China.<h4>Study design and methods</h4>A cross sectional survey of 29442 patients was conducted in 77 t...
Guardado en:
| Autores principales: | , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2014
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/4afec61fa2af416e9d04d7c3aa1d58e7 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:4afec61fa2af416e9d04d7c3aa1d58e7 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:4afec61fa2af416e9d04d7c3aa1d58e72021-11-25T06:04:48ZHyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China.1932-620310.1371/journal.pone.0103507https://doaj.org/article/4afec61fa2af416e9d04d7c3aa1d58e72014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25121493/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>To investigate the association of hyperglycemia with blood pressure control goal in the patients with type 2 diabetes (T2D) cared by tertiary hospitals in China.<h4>Study design and methods</h4>A cross sectional survey of 29442 patients was conducted in 77 tertiary hospitals in 4 major cities in China in 2011 and 18350 of them without known hypertension were used in the analysis. Univariable and multivariable logistic regression analysis stratified on cities and hospitals was performed to obtain odds ratio of factors of interest for achievement of the blood pressure treatment goal, i.e., 140/80 mmHg as recommended by American Diabetes Association (ADA). Sensitivity analysis was performed after re-inclusion of 11902 patients with diagnosed hypertension. Findings from were further replicated in patients with T2D recruited using the same protocol from tertiary hospitals located in other central cities in China.<h4>Results</h4>The mean age was 58.2 (SD: 11.3) years and 53.3% were male, with a median of 4 years of disease duration. A total of 12129 patients (58.2%) did not achieve the ADA recommended goal for BP control. After adjusting for covariables, hyperglycemia was associated with failure to achieve the BP goal (OR of HbA1c at 6.5%-6.9% vs. <6.0%: 1.22, 95%CI: 1.08 to 1.39; OR of 7.0%-7.0% vs. <6.0%: 1.37, 1.21 to 1.54 and OR of ≥ 8.0% vs. <6.0%: 1.22, 95%CI: 1.08 to 1.38). The sensitivity analysis and the replication analysis showed similar results.<h4>Conclusions</h4>Hyperglycemia defined as HbA1c ≥ 6.5% increased the risk of failure to achieve the BP goal in T2D patients.Linong JiXinyue ZhiJuming LuXiaohui GuoWenying YangWeiping JiaDajin ZouZhiguang ZhouQiuhe JiDalong ZhuLixin ShiJianping WengPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 8, p e103507 (2014) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Linong Ji Xinyue Zhi Juming Lu Xiaohui Guo Wenying Yang Weiping Jia Dajin Zou Zhiguang Zhou Qiuhe Ji Dalong Zhu Lixin Shi Jianping Weng Hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China. |
| description |
<h4>Objective</h4>To investigate the association of hyperglycemia with blood pressure control goal in the patients with type 2 diabetes (T2D) cared by tertiary hospitals in China.<h4>Study design and methods</h4>A cross sectional survey of 29442 patients was conducted in 77 tertiary hospitals in 4 major cities in China in 2011 and 18350 of them without known hypertension were used in the analysis. Univariable and multivariable logistic regression analysis stratified on cities and hospitals was performed to obtain odds ratio of factors of interest for achievement of the blood pressure treatment goal, i.e., 140/80 mmHg as recommended by American Diabetes Association (ADA). Sensitivity analysis was performed after re-inclusion of 11902 patients with diagnosed hypertension. Findings from were further replicated in patients with T2D recruited using the same protocol from tertiary hospitals located in other central cities in China.<h4>Results</h4>The mean age was 58.2 (SD: 11.3) years and 53.3% were male, with a median of 4 years of disease duration. A total of 12129 patients (58.2%) did not achieve the ADA recommended goal for BP control. After adjusting for covariables, hyperglycemia was associated with failure to achieve the BP goal (OR of HbA1c at 6.5%-6.9% vs. <6.0%: 1.22, 95%CI: 1.08 to 1.39; OR of 7.0%-7.0% vs. <6.0%: 1.37, 1.21 to 1.54 and OR of ≥ 8.0% vs. <6.0%: 1.22, 95%CI: 1.08 to 1.38). The sensitivity analysis and the replication analysis showed similar results.<h4>Conclusions</h4>Hyperglycemia defined as HbA1c ≥ 6.5% increased the risk of failure to achieve the BP goal in T2D patients. |
| format |
article |
| author |
Linong Ji Xinyue Zhi Juming Lu Xiaohui Guo Wenying Yang Weiping Jia Dajin Zou Zhiguang Zhou Qiuhe Ji Dalong Zhu Lixin Shi Jianping Weng |
| author_facet |
Linong Ji Xinyue Zhi Juming Lu Xiaohui Guo Wenying Yang Weiping Jia Dajin Zou Zhiguang Zhou Qiuhe Ji Dalong Zhu Lixin Shi Jianping Weng |
| author_sort |
Linong Ji |
| title |
Hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China. |
| title_short |
Hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China. |
| title_full |
Hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China. |
| title_fullStr |
Hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China. |
| title_full_unstemmed |
Hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in China. |
| title_sort |
hyperglycemia and blood pressure treatment goal: a cross sectional survey of 18350 patients with type 2 diabetes in 77 tertiary hospitals in china. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2014 |
| url |
https://doaj.org/article/4afec61fa2af416e9d04d7c3aa1d58e7 |
| work_keys_str_mv |
AT linongji hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT xinyuezhi hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT juminglu hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT xiaohuiguo hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT wenyingyang hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT weipingjia hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT dajinzou hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT zhiguangzhou hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT qiuheji hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT dalongzhu hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT lixinshi hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina AT jianpingweng hyperglycemiaandbloodpressuretreatmentgoalacrosssectionalsurveyof18350patientswithtype2diabetesin77tertiaryhospitalsinchina |
| _version_ |
1718414220479954944 |