Seasonal variation in blood pressure control across US health systems
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Le résumé fourni par la source
OBJECTIVE: We aimed to characterize seasonal variation in US population-based blood pressure (BP) control and BP-related metrics and evaluate the association between outdoor temperature and BP control variation. METHODS: We queried electronic health records (EHRs) from 26 health systems, representing 21 states, to summarize BP metrics by quarters of 12-month periods from January 2017 to March 2020. Patients with at least one ambulatory visit during the measurement period and a hypertension diagnosis during the first 6 months or prior to the measurement period were included. Changes in BP control, BP improvement, medication intensification, average SBP reduction after medication intensification across quarters and association with outdoor temperature were analyzed using weighted generalized linear models with repeated measures. RESULTS: Among 1 818 041 people with hypertension, the majority were more than 65 years of age (52.2%), female (52.1%), white non-Hispanic (69.8%) and had stage 1/2 hypertension (64.8%). Overall, BP control and process metrics were highest in quarters 2 and 3, and lowest in quarters 1 and 4. Quarter 2 had the highest percentage of improved BP (31.95 ± 0.90%) and average SBP reduction after medication intensification (16 ± 0.23 mmHg). Quarter 3 had the highest percentage of BP controlled (62.25 ± 2.55%) and lowest with medication intensification (9.73 ± 0.60%). Results were largely consistent in adjusted models. Average temperature was associated with BP control metrics in unadjusted models, but associations were attenuated following adjustment. CONCLUSION: In this large, national, EHR-based study, BP control and BP-related process metrics improved during spring/summer months, but outdoor temperature was not associated with performance following adjustment for potential confounders.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Seasonal variation in blood pressure control across US health systems
- Date Crossref
- 03/03/2023
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Duke University pays non établi dans la noticeUniversité ou école supérieure
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Clinical Research Institute pays non établi dans la noticeStructure de recherche
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University of Florida Department of Health Outcomes and Policy pays non établi dans la noticeUniversité ou école supérieure
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American Medical Association pays non établi dans la noticeInstitution
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Mayo Clinic Department of Cardiovascular Medicine pays non établi dans la noticeÉtablissement de santé
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Tulane University Louisiana Public Health Institute pays non établi dans la noticeUniversité ou école supérieure
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Louisiana Public Health Institute pays non établi dans la noticeOrganisation à but non lucratif
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Northwestern University pays non établi dans la noticeUniversité ou école supérieure
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University of Utah Cardiovascular Medicine Division pays non établi dans la noticeUniversité ou école supérieure
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Pennsylvania State University pays non établi dans la noticeUniversité ou école supérieure
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University of Pittsburgh Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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University of Nebraska at Omaha pays non établi dans la noticeUniversité ou école supérieure
Duke University, Clinical Research Institute et Department of Health Outcomes and Policy — University of Florida, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.