Overall, 42% of hypertensive patients in Spanish hospital units achieved goal blood pressure (<140/90 mm Hg), with significantly lower control rates in high-risk subgroups such as diabetics (13%).
Observational (n=4,049)
Yes
Goal blood pressure (BP) was defined by the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-VI) and the World Health Organization-International Society of Hypertension (WHO/ISH) as 1 g/d. Poorer BP control was observed among patients at high risk, with diabetes, renal disease, or obesity, than in lower-risk groups. BP control was lower for systolic than for diastolic BP. In >50% of uncontrolled patients, no measures were taken by doctors to optimize pharmacologic treatment, and approximately one-third of patients were still using drug monotherapy. Control of BP, particularly of systolic BP, is still far from optimal in hospital-based hypertension units. Patients at high risk, with diabetes or proteinuria, warrant focused attention. Moreover, a more aggressive behavior of doctors treating uncontrolled hypertension is needed.
Banegas et al. (Tue,) conducted a observational in Hypertension (n=4,049). Physician management of hypertension was evaluated on Achievement of goal blood pressure (<140/90 mm Hg overall). Overall, 42% of hypertensive patients in Spanish hospital units achieved goal blood pressure (<140/90 mm Hg), with significantly lower control rates in high-risk subgroups such as diabetics (13%).