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. 2020 Aug 28;115(2):174-181.
doi: 10.36660/abc.20180384.

Blood Pressure Control and Associated Factors in a Real-World Team-Based Care Center

[Article in English, Portuguese]
Thiago Veiga Jardim  1   2 , Ana Luiza Lima Souza  1   2 , Weimar Kunz Sebba Barroso  1   2 , Paulo Cesar B Veiga Jardim  1   2
Affiliations

Blood Pressure Control and Associated Factors in a Real-World Team-Based Care Center

[Article in English, Portuguese]
Thiago Veiga Jardim et al. Arq Bras Cardiol. .

Abstract
in English, Portuguese

Background: Although team-based care is recommended for patients with hypertension, results of this intervention in a real-world setting are missing in the literature.

Objective: To report the results of a real-world long-term team-based care for hypertensive patients we conducted this study.

Methods: Data of hypertensive patients attending a multidisciplinary treatment center located in the Midwest region of Brazil in June 2017 with at least two follow-up visits were retrospectively assessed. Anthropometric, blood pressure (BP), follow-up time, pharmacological treatment, diabetes and lifestyle data were collected from the last visit to the service. BP values < 140 x 90 mmHg in non-diabetics and < 130 x 80 mmHg in diabetics were considered controlled. A logistic regression model was built to identify variables independently associated to BP control. Significance level adopted p < 0.05.

Results: A total of 1,548 patients were included, with a mean follow-up time of 7.6 ± 7.1 years. Most patients were female (73.6%; n=1,139) with a mean age of 61.8 ±12.8 years. BP control rates in all the sample, and in non-diabetics and diabetics were 68%, 79%, and 37.9%, respectively. Diabetes was inversely associated with BP control (OR 0.16; 95%CI 0.12-0.20; p<0.001) while age ≥ 60 years (OR 1.48; 95%CI 1.15-1.91; p=0.003) and female sex (OR 1.38; 95%CI 1.05-1.82; p=0.020) were directly associated.

Conclusions: A BP control rate around 70% was found in patients attending a multidisciplinary team care center for hypertension. Focus on patients with diabetes, younger than 60 years and males should be given to further improve these results. (Arq Bras Cardiol. 2020; 115(2):174-181).

Fundamento: Apesar de se recomendar a intervenção em equipe no tratamento da hipertensão, resultados dessa abordagem em ambientes do mundo real são escassos na literatura.

Objetivos: Apresentar os resultados de uma estratégia terapêutica baseada em equipe, de longo prazo, de pacientes hipertensos em um serviço de saúde.

Métodos: Dados de pacientes hipertensos acompanhados em um centro de tratamento multidisciplinar localizado na região centro-oeste do Brasil em junho de 2017 com pelo menos duas visitas de acompanhamento foram avaliados retrospectivamente. Dados antropométricos, pressão arterial (PA), tempo de acompanhamento, tratamento farmacológico, diabetes, estilo de vida foram coletados da última consulta. Valores de PA < 140 x 90 mmHg em não diabéticos e < 130 x 80 mmHg em diabéticos foram considerados PA controlada. Um modelo de regressão logística foi construído para identificar variáveis independentemente associadas com o controle da PA. O nível de significância adotado foi de p<0.05.

Resultados: Foram incluídos 1548 pacientes, com média de acompanhamento de 7,6 ± 7,1 anos. A maioria dos pacientes eram mulheres (73,6%; n=1139), com idade média de 61,8 anos. As taxas de controle da PA na amostra total, em não diabéticos e nos diabéticos foram 68%, 79%, e 37,9%, respectivamente. Diabetes associou-se inversamente com controle da PA (OR 0,16; IC95% 0,12-0,20; p<0,001), enquanto idade ≥ 60 anos (OR 1,48; IC95% 1,15-1,91; p=0,003) e sexo feminino (OR 1,38; IC95% 1,05-1,82; p=0,020) apresentaram associação direta.

Conclusões: Uma taxa de controle de cerca de 70% foi encontrada em pacientes atendidos em um serviço multidisciplinar de tratamento da hipertensão. A fim de melhorar esses resultados, atenção deve ser dada a pacientes diabéticos, com idade menor que 60 anos e do sexo masculino. (Arq Bras Cardiol. 2020; 115(2):174-181).

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Conflict of interest statement

Potencial conflito de interesses

Declaro não haver conflito de interesses pertinentes.

Figures

Figura 1
Figura 1. – Controle da pressão arterial na população total estudada, e em diabéticos e não diabéticos; Goiânia, Brasil. PA: pressão arterial; controle da pressão arterial: PA < 140 x 90 mmHg em não diabéticos e < 130 x 80 mmHg em diabéticos.
Figure 1
Figure 1. – Blood pressure control in the overall study population, non-diabetics and diabetics. Goiânia – Brazil. Blood pressure control – BP < 140 x 90 mmHg in non-diabetics and < 130 x 80 mmHg in diabetics.
See this image and copyright information in PMC

Comment in

  • Blood Pressure Control: The secret is…Team Work!
    Pio-Abreu A, Drager LF. Pio-Abreu A, et al. Arq Bras Cardiol. 2020 Aug 28;115(2):182-183. doi: 10.36660/abc.20200544. Arq Bras Cardiol. 2020. PMID: 32876181 Free PMC article. English, Portuguese. No abstract available.

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References

    1. 1. Whelton PK , Carey RM , Aronow WS , Casey DE Jr , Collins KJ , Dennison Himmelfarb C , et al . 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines . Hypertension . 2018 ; 71 ( 6 ): 1269 - 1324 . - PubMed
    1. 2. Mancia G , Fagard R , Narkiewicz K , Rendon J , Zanchetti A , Böhm M , et al . 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) . Eur Heart J . 2013 ; 34 ( 28 ): 2159 - 219 . - PubMed
    1. 3. Forouzanfar MH , Liu P , Roth GA , Ng M , Biryukov S , Marczak L , et al . Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm hg, 1990-2015 . JAMA . 2017 ; 317 ( 2 ): 165 - 82 . - PubMed
    1. 4. Lim SS , Vos T , Flaxman AD , Danaei G , Shibuya K , Adair-Rohani H , et al . A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010 . Lancet . 2012 ; 380 ( 9859 ): 2224 - 60 . - PMC - PubMed
    1. 5. Blacher J , Levy BI , Mourad JJ , Safar ME , Bakris G . From epidemiological transition to modern cardiovascular epidemiology: hypertension in the 21st century . Lancet . 2016 ; 388 ( 10043 ): 530 - 2 . - PubMed

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