Abstract P183: Minimal Impact of JAMA 2014 Guidelines on Blood Pressure Control in a Large Health System
| Autor: | Alex R Chang, J E Hartle, Lawrence Appel, Morgan Grams |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Circulation. 135 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.135.suppl_1.p183 |
| Popis: | Background: JAMA 2014 blood pressure (BP) guidelines raised BP goals for adults older than 60 years (from Methods: Using data from 288,962 adults receiving primary care in the Geisinger Health System, we compared blood pressure control over 1-year time periods before and after the February 2014 publication of the JAMA 2014 BP guidelines (i.e. Aug 2012-July 2013 vs Aug 2014-July 2015). Mixed effects models were used, allowing intercepts to vary by individual, adjusted for age, gender, and race. Results: Mean age was 49.2 ± 18.3 y, 56.7% were female, and 2.5% were black. Prevalence of diagnoses for hypertension, diabetes, and CKD were 40.0%, 15.1%, and 11.4%, respectively. Overall, distributions of systolic BP were similar before and after JAMA 2014 BP guidelines (Figure). BP control Conclusion: There was little change in blood pressure control in a large integrated health system after publication of the JAMA 2014 BP guidelines. These findings are reassuring given recent findings from the SPRINT trial supporting lower BP goals. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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