Is a multicomponent hypertension management program implemented in the public primary care setting associated with fewer patient complications and mortality? JAMANetworkOpen hypertension bloodpressure health
By Pooja Toshniwal PahariaMay 26 2023Reviewed by Danielle Ellis, B.Sc. In a recent study published in JAMA Network Open, researchers compared hypertension-associated complications and the use of healthcare services at five years among hypertensive individuals managed using the Risk Assessment and Management Program for Hypertension versus regular care.
About the study In the present prospective cohort study, researchers investigated whether a collaborative, protocol-driven and multicomponent hypertension management program implemented in primary healthcare settings was related to fewer complications and lower mortality among hypertensive patients. The study interventions included nurse-performed risk estimations in linkage with electronic reminder systems, nurse interventions, and specialist consultations, apart from the regular scare. Risk assessments were performed 12.0 to 30.0 months apart using the Joint British Societies’ calculator, whereas specialist consultations and nurse interventions were performed when necessary.
The team performed Cox proportional hazards regression modeling and binomial regression modeling to calculate the hazard ratios and incidence rate ratios , respectively, adjusting for covariates such as age, sex, smoking status, height, weight, blood pressure, fasting blood glucose, estimated glomerular filtration rate , and lipid profile.
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