Key result
Hypertension follow-ups every 1-2 months linked to ~76% lower control in young adults versus <1 month.
Why the study?
Do shorter ambulatory blood pressure encounter intervals improve hypertension control rates in young adults with incident hypertension?
Observational (n=2,990)
No
Do shorter ambulatory blood pressure encounter intervals improve hypertension control rates in young adults with incident hypertension?
Frequent follow-up visits (shorter encounter intervals) are associated with significantly higher rates of hypertension control and lower medication initiation in young adults with incident hypertension.
Frequent encounters may aid control in young adults; hypothesis-generating and requires randomized confirmation before practice change.
Young adults (aged 18 to 39 years) have the lowest hypertension control rates compared with older adults. Shorter follow-up encounter intervals are associated with faster hypertension control rates in older adults; however, optimal intervals are unknown for young adults. The study objective was to evaluate the relationship between ambulatory blood pressure encounter intervals (average number of provider visits with blood pressures over time) and hypertension control rates among young adults with incident hypertension. A retrospective analysis was conducted of patients aged 18 to 39 years (n = 2990) with incident hypertension using Kaplan-Meier survival and Cox proportional hazards analyses over 24 months. Shorter encounter intervals were associated with higher hypertension control: <1 month (91%), 1 to 2 months (76%), 2 to 3 months (65%), 3 to 6 months (40%), and >6 months (13%). Young adults with shorter encounter intervals also had lower medication initiation, supporting the effectiveness of lifestyle modifications. Sustainable interventions for timely young adult follow-up are essential to improve hypertension control in this hard-to-reach population.
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King et al. (2017) conducted an observational in Incident hypertension (n=2,990). Encounter interval 1-2 months vs. Encounter interval <1 month was evaluated on Time to achieving hypertension control (HR 0.24, 95% CI 0.18-0.31, p=<0.001). Compared to encounter intervals of <1 month, young adults with incident hypertension seen at 1- to 2-month intervals had a 76% lower rate of achieving hypertension control (HR 0.24).
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