Home blood pressure control and prescribing patterns of anti-hypertensive medications in a home blood pressure-based hypertension-specialized clinic in Japan: a sub-analysis of the Ohasama study
2024

Home Blood Pressure Control in Japan

Sample size: 379 publication 10 minutes Evidence: high

Author Information

Author(s): Satoh Michihiro, Metoki Hirohito, Murakami Takahisa, Tatsumi Yukako, Asayama Kei, Kikuya Masahiro, Ohkubo Takayoshi, Imai Yutaka

Primary Institution: Tohoku Medical and Pharmaceutical University

Hypothesis

The study aimed to compare blood pressure control conditions in a hypertension-specialized clinic and non-hypertension-specialized clinics.

Conclusion

The proportion of patients with controlled home blood pressure was excellent in the hypertension-specialized clinic.

Supporting Evidence

  • 93.6% of patients in the hypertension-specialized clinic had controlled home blood pressure.
  • 41.9% of patients in the hypertension-specialized clinic were prescribed three or more anti-hypertensive drug classes.
  • Home blood pressure monitoring encourages active patient participation in hypertension management.

Takeaway

In a special clinic for high blood pressure, most patients were able to keep their blood pressure in a healthy range by using home monitoring.

Methodology

This cross-sectional study used data from 379 treated patients who measured home blood pressure in the Ohasama study between 2016 and 2019.

Potential Biases

Healthy participant bias might have existed as the study population consisted of patients who could regularly visit outpatient clinics.

Limitations

The study may have included patients who were particularly concerned about hypertension, leading to potential healthy participant bias.

Participant Demographics

The sample included 43% men with an average age of 71.6 years.

Statistical Information

P-Value

<0.0001

Confidence Interval

95% confidence interval: 88.7–96.7%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/s41440-024-01954-7

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