Youth Often Get Hypertension Rx From PCPs Who Treat Adults

Whites, older adolescents, and those with comorbidity more likely to receive prescription

MONDAY, Dec. 5 (HealthDay News) -- Nearly two-thirds of adolescents with primary hypertension who receive antihypertensive medication prescriptions get them from adult primary care physicians (PCPs), according to a study published online Dec. 5 in Pediatrics.

Esther Y. Yoon, M.D., M.P.H., from the University of Michigan in Ann Arbor, and colleagues investigated the prescription patterns of antihypertensive pharmacotherapy for primary hypertension in adolescents, including the antihypertensive drug class prescribed and the specialty of the prescribing physician. Patient demographics and the presence of obesity-related comorbidities were examined. Adolescents with primary hypertension were identified by International Classification of Diseases, Ninth Revision codes.

The investigators identified 4,296 adolescents with primary hypertension during 2003 to 2008. Of these, 66 percent were boys; 73 percent were aged 11 to 14 years; 48 percent had obesity-related comorbidity; and 53, 41, and 4 percent were blacks, whites, and Hispanics, respectively. Twenty three percent of adolescents with primary hypertension received antihypertensive prescriptions. After controlling for gender, and years of Medicaid eligibility, antihypertensive prescriptions were more likely to be received by whites, older adolescents (≥15 years), and those with comorbidity (odds ratios, 1.61, 2.11, and 1.57, respectively). Prescriptions were received from adult PCPs by nearly two-thirds of adolescents. Of the adolescents who received prescriptions, more than one-quarter received combination therapy, which was prescribed most often by adult PCPs.

"Adult PCPs were leading prescribers of antihypertensive medications for adolescents with primary hypertension," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.


Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.


Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events