Document Detail


Predictors of hypertension control in a diverse general cardiology practice.
MedLine Citation:
PMID:  20695933     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Factors influencing hypertension (HTN) control in the United States are not well understood. The authors utilized a newly designed survey instrument to interview patients presenting to a diverse, general cardiology practice at a tertiary care center in order to identify factors associated with HTN control. The study was completed in 154 participants, and 121 (78.6%) had HTN. Of those, 111 (91.7%) had awareness of HTN, and 72 (59.5%) had HTN control, defined as <140/90 mm Hg. In a multivariate analysis, race/ethnicity was not associated with HTN control, but private insurance (odds ratio [OR] 3.40, 95% confidence interval [CI] 1.25-9.28), nonsmoker status (OR 4.36, CI 1.22-15.51), and number of medications used (OR 1.32, CI 1.12-1.56) were associated with HTN control. Correct recognition of systolic blood pressure goal and knowledge of one's current state of HTN control were also associated with control. In conclusion, in a general cardiology practice where patients had a high degree of healthcare access, race/ethnicity was not associated with HTN control, while type of insurance, nonsmoker status, and increased number of medications used were associated. In addition, 2 novel predictors of HTN control, recognition of systolic blood pressure goal and knowledge of HTN control, were identified that can be utilized in creating new HTN treatment interventions.
Authors:
Adam D DeVore; Matthew Sorrentino; Morton F Arnsdorf; R Parker Ward; George L Bakris; Ron Blankstein
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  12     ISSN:  1751-7176     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  570-7     Citation Subset:  IM    
Affiliation:
Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. adevore@partners.org
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MeSH Terms
Descriptor/Qualifier:
African Americans / ethnology
Aged
Antihypertensive Agents / therapeutic use
Asian Americans / ethnology
Awareness
Blood Pressure* / physiology
European Continental Ancestry Group / ethnology
Female
General Practitioners*
Health Knowledge, Attitudes, Practice*
Hispanic Americans / ethnology
Humans
Hypertension / drug therapy*,  ethnology*,  physiopathology
Male
Middle Aged
Patient Education as Topic
Predictive Value of Tests
Retrospective Studies
Systole / physiology
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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