Open AccessHypertension Treatment and Control Among 28 Physician Practices Across the United States: Results of the Hypertension: Assessment of Treatment to Target (HATT) Study
Author(s) -
Belletti Daniel A.,
Zacker Christopher,
Wogen Jenifer
Publication year - 2010
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1751-7176.2010.00311.x
Subject(s) - medicine , blood pressure , body mass index , diabetes mellitus , diastole , population , endocrinology , environmental health
J Clin Hypertens(Greenwich). 2010;12:603–612. © 2010 Wiley Periodicals, Inc. Chart reviews were conducted at 28 US physician practices to evaluate blood pressure (BP) management. The cross‐sectional study included 8250 adult patients diagnosed with hypertension. The primary outcome variable was BP control (BP <140/90 mm Hg for nondiabetic and <130/80 mm Hg for diabetic patients). Mean body mass index was 30.9 kg/m 2 , 49% were obese, 54% were women, mean age was 64.9 years, and 25% had diabetes. Mean BP was 132.2/77.8 mm Hg, and 55.8% of study participants had controlled BP. Patients with uncontrolled BP were more likely to be obese or African American, and more than twice as likely to have diabetes. Almost 1 in 5 nondiabetic patients (18%), and 38% of diabetic patients, were above goal BP by >10 mm Hg systolic or >5 mm Hg diastolic; among these patients, 36% used 0 or 1 antihypertensive medication, and 32% used 2 medications. Opportunity exists to improve BP control in this population.