The importance of frequent return visits and hypertension control among US young adults: a multidisciplinary group practice observational study
| Autor: | Cecile C. King, E. Magnan, Maureen A. Smith, Christie M. Bartels, Heather M. Johnson, Jennifer T Fink |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Aging Pediatrics Endocrinology Diabetes and Metabolism Psychological intervention Aftercare Blood Pressure Medical Biochemistry and Metabolomics Cardiorespiratory Medicine and Haematology 030204 cardiovascular system & hematology Cardiovascular 0302 clinical medicine Blood Pressure Monitoring Ambulatory Care Medicine 030212 general & internal medicine hypertension-general Young adult education.field_of_study Age Factors Blood Pressure Monitoring Ambulatory Hypertension Female clinical management of high blood pressure Cardiology and Cardiovascular Medicine Adult medicine.medical_specialty Ambulatory blood pressure Clinical Sciences Population Article 03 medical and health sciences Clinical Research Ambulatory Internal Medicine Humans education Life Style Antihypertensive Agents Primary Health Care Hypertension control primary care issues business.industry Proportional hazards model Prevention Medication Initiation United States Cardiovascular System & Hematology Observational study business |
| Zdroj: | Journal of clinical hypertension (Greenwich, Conn.), vol 19, iss 12 |
| ISSN: | 1524-6175 |
| DOI: | 10.1111/jch.13096 |
| Popis: | Young adults (aged 18 to 39years) 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 24months. Shorter encounter intervals were associated with higher hypertension control: 6months (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. |
| Databáze: | OpenAIRE |
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