Different characteristics but comparable hypertension rates between two MMT "twin" clinics.

IF 1.6 4区医学 Q3 SUBSTANCE ABUSE

Journal of Addictive Diseases Pub Date : 2024-05-20 DOI:10.1080/10550887.2024.2353432

Miriam Adelson, Dinita Smith, Anat Sason, Sherry Duff, Ana Renteria, Shaul Schreiber, Einat Peles

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引用次数: 0

Abstract

Background: Patients in methadone maintenance treatment (MMT) may develop age-related medical problems. Objective: To compare hypertension prevalence and its risk factors between two MMT clinics, having similar treatment guidelines, but different characteristics, one from Tel Aviv (TA) and one from Las Vegas (LV).

Methods: Prevalence of hypertension (systolic ≥140 and or diastolic ≥90 mmHg BP) among all current 291 MMT patients in TA and 180 patients in LV were studied, including body mass index (BMI), drugs in urine, sociodemographic, and addiction history data.

Results: Hypertension prevalence was comparable in TA (35.4%) and LV (34.4%), however TA patients were older (55.9 ± 9.5 vs. 45.5 ± 13.3, p < 0.001), with fewer females (22 vs. 42.2%, p < 0.001), fewer obese (BMI ≥30) (24 vs. 40.9%, p < 0.001), higher cocaine (21 vs. 7.8%, p < 0.001), and lower cannabis (14.1 vs. 32.4%, p < 0.001) and amphetamines (0 vs. 33.5%) users. Logistic regression found higher BMI to characterize hypertension in both clinics, but in TA also negative urine cocaine, benzodiazepine, and opioids screen, while in LV older age (≥50 y), male gender, and negative urine cannabis screen.

Conclusions: While TA was characterized with older patients, LV patients had a comparable hypertension rate, as obesity was more prevalent. No drug use was accompanied by higher BMI in TA and therefore associated with hypertension. Weight reduction, hypertension detection and treatment are recommended.

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两家 MMT "双胞胎 "诊所的特点不同，但高血压发病率相当。

背景：美沙酮维持治疗（MMT）患者可能会出现与年龄相关的医疗问题。目的比较特拉维夫（TA）和拉斯维加斯（LV）两家治疗指南相似但特点不同的美沙酮维持治疗诊所的高血压患病率及其风险因素：方法：对特拉维夫和拉斯维加斯两家 MMT 诊所的 291 名现有 MMT 患者和 180 名现有 MMT 患者的高血压患病率（收缩压≥140 和或舒张压≥90 mmHg 血压）进行研究，包括体重指数（BMI）、尿液中的药物、社会人口学和成瘾史数据：结果：高血压患病率在 TA（35.4%）和 LV（34.4%）中相当，但 TA 患者年龄更大（55.9 ± 9.5 vs. 45.5 ± 13.3，p p p p p 结论：TA 患者年龄更大，而 LV 患者年龄更大：TA患者的特点是年龄较大，而LV患者的高血压发病率相当，因为肥胖更为普遍。TA的体重指数较高，因此与高血压有关。建议减轻体重，检测并治疗高血压。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Addictive Diseases SUBSTANCE ABUSE-

CiteScore

4.30

自引率

4.30%

发文量

期刊介绍： The Journal of Addictive Diseases is an essential, comprehensive resource covering the full range of addictions for today"s addiction professional. This in-depth, practical journal helps you stay on top of the vital issues and the clinical skills necessary to ensure effective practice. The latest research, treatments, and public policy issues in addiction medicine are presented in a fully integrated, multi-specialty perspective. Top researchers and respected leaders in addiction issues share their knowledge and insights to keep you up-to-date on the most important research and practical applications.