Key result
Nonattendance for hypertensive care was associated with a higher prevalence of uncontrolled diastolic blood pressure (>90 mm Hg) compared to attenders (67% vs 30%).
Why the study?
Does nonattendance to physician visits worsen blood pressure control in aware hypertensive patients?
Cross-Sectional (n=907)
Does nonattendance to physician visits worsen blood pressure control in aware hypertensive patients?
Absolute Event Rate: 67% vs 30%
Nonattendance may link to poorer BP control; leaves open whether attendance interventions improve outcomes in aware hypertensives.
• Hypertensive patients frequently discontinue follow-up care. In a population-based survey of 4688 adults, we examined the impact of nonattendance on blood pressure control in aware hypertensives. Nonattendance was defined as a failure to visit a physician for hypertensive care within a six-month interval and was reported by 29% of 907 aware hypertensives. Nonattenders had a higher prevalence of diastolic blood pressure above 90 mm Hg (67% vs 30% for attenders). The nonattender profile was male, young, active in the work force, and without coexisting chronic diseases. Poor blood pressure control among nonattenders was associated with a lower treatment rate. Uncontrolled diastolic hypertension and less adherence to medications in nonattenders warrants concern by clinicians. (Arch Intern Med1988;148:525-528)
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William M. McClellan (1988) conducted a cross-sectional in Hypertension (n=907). Nonattendance for hypertensive care vs. Attendance for hypertensive care was evaluated on Diastolic blood pressure above 90 mm Hg. Nonattendance for hypertensive care was associated with a higher prevalence of uncontrolled diastolic blood pressure (>90 mm Hg) compared to attenders (67% vs 30%).
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