Abstract 054: Hypertension Treatment And Control In A New York City Healthcare System
| Autor: | Ayana K April-Sanders, Ladan Golestaneh, Lili Zhang, Katrina Swett, Paul Meissner, Eran Y Bellin, Carlos Rodriguez |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Circulation. 145 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.145.suppl_1.054 |
| Popis: | Background: We investigated the prevalence of and patient characteristics correlated with hypertension control in the Montefiore Health System, a large and predominantly minority healthcare system with locations in New York City and Southern portion of Upstate New York. Methods: Using outpatient care data, we included all individuals with hypertension defined by ICD 9/10 codes during 2018. Treatment and control status were defined by the presence of prescribed antihypertensive medication(s) and measured blood pressure (BP): Joint National Commission (JNC) criteria - < 140 / 90 mmHg; or American Heart Association/American College of Cardiology (AHA/ACC) criteria - Results: Among 74,487 hypertensive patients [mean age 62 years ±14), 62% female, predominantly Black (42%) and Hispanic (41%), and low SES (-2.91 ±2.90)], 57% were treated, of which 57% had achieved BP control by JNC criteria and 23% by AHA/ACC criteria. Compared with untreated patients, those prescribed treatments were older (61%), more likely to be NH Black or Hispanic (60%), and report one or more comorbidities (76%) (all p Conclusions: Hypertension treatment and control rates in a large, urban health system were significantly lower than reported national averages. Overall, NH Whites had a lower likelihood of hypertension treatment; NH Black and Hispanic patients had significantly lower prevalence of control compared with other racial/ethnic groups, despite having higher treatment rates. Disparities in BP control by patient characteristics was heightened with the AHA/ACC criteria. |
| Databáze: | OpenAIRE |
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