Reorganização da rede de assistência às condições crônicas com ênfase na hipertensão arterial sistêmica em Balsas-MA

Abstract

Systemic arterial hypertension (SAH) is a multifactorial non-communicable chronic disease, characterized by a sustained increase in blood pressure levels ≥ 140 and/or 90mmHg. It is often associated with functional and/or structural changes in target organs (heart, brain, kidneys and blood vessels), and with metabolic changes, which increase the risk of fatal and non-fatal cardiovascular events. It is also important to remember that SAH is associated with events such as sudden death, cerebrovascular accident (CVA), Acute Myocardial Infarction (AMI), Heart Failure (HF), Peripheral Artery Disease (PAD) and Chronic Kidney Disease (CKD). Its general objective is to develop a logical/conceptual model based on risk stratification for assistance in users with Systemic Arterial Hypertension at the referral center for chronic conditions, in order to propose a better organization of the health system in the municipality of Balsas Maranhão. This is a descriptive-exploratory study, of the methodological type with a quantitative approach. A form was applied to collect data from the medical records registered at the Reference Center for Chronic Diseases (HIPERDIA). In order to determine the number of hypertensive patients treated in the Hiperdia Program, data was collected from the individual medical records of patients between the month of April and June 2022, which resulted in a total of 9,165 patients registered. Among this total (9,165), 2,358 are patients diagnosed with SAH, with the sample calculation resulting in a total of 1,368 patients including both sexes, aged 60 years or older, and the exclusion criteria were patients aged less than 60 years. years, with other chronic pathologies, who are registered in the program. The data obtained from the form were organized by sociodemographic data such as sex/gender, age, diagnosis, origin, complementary exams and medications. It is expected that this Document, Reorganization of the assistance network for chronic conditions with an emphasis on systemic arterial hypertension, will be used as a support tool for the manager, thus cooperating for the construction, organization and strengthening of Health Care Networks.