Consistency of Blood Pressure Control: a Useful Tool of Hypertension Assessment in a Vulnerable Population
There is strong evidence that treatment of hypertension reduces cardiovascular morbidity and mortality.1 National Health and Nutrition Examination Survey (NHANES) and a national quality program, the Health Plan Employer Data and Information Set (HEDIS), use point prevalence of blood pressure with a cut point of less than 140/90 mmHg to assess control for the population and for clinical practices, respectively.2, 3
There is compelling data showing that the proportion of visits with blood pressure control below 140/90 is a graded predictor of hypertension-related outcomes.4 The implication of this study is that beyond point prevalence of hypertension control, consistency of control below 140/90 may be an important patient-centered goal of care.
We conducted an electronic medical record (EMR) review of patients in a primary care clinic at John H. Stroger, Jr. Hospital of Cook County approved by our institutional review board. Patients seen over a 2-week period of a...
Compliance with Ethical Standards
We conducted an electronic medical record (EMR) review of patients in a primary care clinic at John H. Stroger, Jr. Hospital of Cook County approved by our institutional review board.
Conflict of Interest
The authors declare that they do not have a conflict of interest.
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- 3.Patel MM, Datu B, Roman D, Barton MB, Ritchey MD, Wall HK, Loustalot F. Progress of health plans towards meeting the million hearts clinical target for high blood pressure control – United States, 2010-2012. MMWR. 2014;63:127-130.Google Scholar