From one-man bands to harmoniously playing chamber and full orchestras
Autor: | Ernst Rietzschel, Marc De Buyzere |
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Rok vydání: | 2017 |
Předmět: |
Male
Blood pressure control medicine.medical_specialty hypertension Physiology Cardiovascular health Psychological intervention risk stratification 030204 cardiovascular system & hematology risk management law.invention primary care 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Risk Factors law Internal Medicine medicine Humans 030212 general & internal medicine Hypertension control business.industry risk assessment cardiovascular disease risk Physical therapy Cardiology and Cardiovascular Medicine business ORIGINAL PAPERS: Therapeutic aspects |
Zdroj: | Journal of Hypertension |
ISSN: | 0263-6352 |
DOI: | 10.1097/hjh.0000000000001156 |
Popis: | Objectives: This study evaluated the effectiveness of a structured multidisciplinary risk assessment and management programme for patients with hypertension (RAMP-HT) who were managed in public primary care clinics but had suboptimal blood pressure (BP) control in improving BP, LDL-cholesterol (LDL-C) and predicted 10-year cardiovascular disease (CVD) risk after 12 months of intervention. Methods: A total of 10 262 hypertension patients with suboptimal BP despite treatment, aged less than 80 years and without existing CVD were enrolled in RAMP-HT between October 2011 and March 2012 from public general out-patient clinics in Hong Kong. Their clinical outcomes and predicted 10-year CVD risk were compared with a matched cohort of hypertension patients who were receiving usual care in general out-patient clinics without any RAMP-HT intervention by propensity score matching. Multivariable linear and logistic regressions were used to determine the independent effectiveness of RAMP-HT after adjusting for potential confounding variables. Results: Compared with the usual care group after 12 months, significantly greater proportions of RAMP-HT participants achieved target BP (i.e. BP 20%) (OR = 1.13, P |
Databáze: | OpenAIRE |
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