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October 6, 2021Journal of the American Heart AssociationOpen Access

BP control (<140/90 mm Hg) was 62% overall but lowest among Black patients at 57% (OR 0.79, 95% CI 0.66-0.94), and medication intensification occurred in only 12% of visits with uncontrolled BP.

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Why the study?

The surveillance system was established to identify opportunities to improve BP control and provide a mechanism to track improvement longitudinally.

What are the rates of blood pressure control and medication intensification in adults with hypertension across US health systems?

Population

1 737 995 adults with hypertension across 25 US health systems

Comparison

BP control metrics overall and by race and ethnicity

Design

Serial cross-sectional study using standardized electronic health record data

Discussion

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Overview

BP control remains suboptimal with racial disparities and low intensification rates; leaves open targets for pragmatic trials and quality improvement.

Structured PICO

What are the rates of blood pressure control and medication intensification in adults with hypertension across US health systems?

P
Population
1,737,995 adults with well-documented hypertension and a recent encounter at 25 US health systems, 15% Black, 52% women, 28% with diabetes.
I
Intervention
Medication intensification (prescription of a new class of antihypertensive medication) when BP is uncontrolled
O
Outcome
Blood pressure control (<140/90 mm Hg)surrogate

Despite known benefits, blood pressure control remains suboptimal (62%) in US health systems, with significant racial disparities and low rates of medication intensification (12%) for uncontrolled BP.

Cite This Study

A 2021 study studied this question.

synapsesocial.com/papers/6a87ba51c61576201cfb0718https://doi.org/10.1161/jaha.121.022224
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