An observational study to evaluate factors responsible and actions taken for hypertensive patients who are not at blood pressure goal: I-target Goal Study
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Date
2012-06
Authors
Aytekin, Saide
Güneri, Sema
Çam, Neşe
Kozdağ, Güliz
Özerkan, Filiz
Yiğit, Zerrin
Birdane, Alparslan
Journal Title
Journal ISSN
Volume Title
Publisher
Springernature
Abstract
To evaluate the percentage of hypertensive patients who could achieve target blood pressure (TBP) according to the guidelines in the context of recommended measures and the factors responsible for failure. A total of 589 hypertensive patients (59.0% female; mean age: 57.7+/-10.4 years) were assessed twice for TBP achievement based on 2007 ESH/ESC guidelines and the investigators' view, in addition to the recommended measures and possible causes of failure in hypertension management in this national multi-center (n = 99), non-interventional observational study. Only 29.5% of the patients at the first visit and 46.8% at the second visit achieved the TBP levels specified by the guidelines. However, the investigators' evaluation indicated a higher achievement rate at the first (43.5%) as well as the second (69.1%) visit when compared with the guideline-based assessments (P<0.001). The primary reasons identified by the investigators for the failure to reach TBP were non-compliance with dietary recommendations (61.6%) at the first visit and non-compliance with treatment (63.92%) at the second visit. Recommendations for lifestyle were the most commonly identified treatment plan by the investigators at both visits (62.9% and 66.1%, respectively). Although more patients achieved the TBP levels specified by the guidelines for the second visit compared with the first, effective blood pressure control was achieved only in 29.5% of our patients. Interestingly, the investigators had a more optimistic view about their patients' control of hypertension, which may have contributed to a poor achievement of TBP.
Description
Keywords
Cardiovascular system & cardiology, Guidelines, Physician opinions, Target blood pressure, Self-management, Health, Prevention, Prevalence
Citation
Aytekin, S. vd. (2012). "An observational study to evaluate factors responsible and actions taken for hypertensive patients who are not at blood pressure goal: i-target Goal Study". Hypertension Research, 35(6), 624-632.