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 (Universidad de Zaragoza) ; Clavería, Ana ; Couso-Viana, Sabela ; Puente-Comesaña, Jesús ; Magallón Botaya, Rosa (Universidad de Zaragoza)

Resumen: 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.

Idioma: Inglés

DOI: 10.3389/ijph.2022.1604913

Año: 2022

Publicado en: International Journal of Public Health 67 (2022), 1604913 [10 pp.]
ISSN: 1661-8556

Factor impacto JCR: 4.6 (2022)

Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 42 / 180 = 0.233 (2022) - Q1 - T1
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 64 / 207 = 0.309 (2022) - Q2 - T1

Factor impacto CITESCORE: 5.0 - Medicine (Q2) - Social Sciences (Q1)

Factor impacto SCIMAGO: 1.289 - Public Health, Environmental and Occupational Health (Q1) - Health (social science) (Q1)

Financiación: info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0005
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0022

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Psicología Social (Dpto. Psicología y Sociología)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)