Although multidisciplinary treatment is recommended for patients with hypertension (HTN), results of this intervention in a real world setting are missing in the literature. Aiming to report the results of a real world long-term multidisciplinary treatment for hypertensive patients we conducted this study.
Design and method:
Data of hypertensive patients with regular follow-up visits in a multidisciplinary HTN treatment center from Brazil's Midwest were retrospectively assessed. Hypertensive patients > = 18 years enrolled in the service by June 2017 with a minimum of two visits were included. Anthropometric, blood pressure (BP), follow-up time, pharmacological treatment, diabetes and lifestyle data were collected from the most recent visit to the service. BP values < 140 × 90 mmHg in non-diabetics and < 130 × 80 mmHg in diabetic patients were defined as controlled. A logistic regression model was built to identify variables independently associated to BP control.
A total of 1,548 patients were included, with a mean follow-up time of 7.6 (±7.1) years. The majority of the population was female (73.6%; n = 1,139) with a mean age of 61.8 (±12.8) years. BP control rate in all study population, 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.
Blood pressure control rates found in a real world multidisciplinary treatment center setting are higher than conventional treatment rates commonly reported. Focus on patients with diabetes, younger than 60 years and males should be given to further improve these results.