Home Blood Pressure Control in Japan
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 in a hypertension-specialized clinic versus non-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.
- Only 43.0% of patients in non-specialized clinics achieved controlled home blood pressure.
- 41.9% of patients in the hypertension-specialized clinic were prescribed three or more anti-hypertensive drug classes.
Takeaway
Patients in a special clinic for high blood pressure did much better at keeping their blood pressure in a healthy range compared to those in regular clinics.
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 may exist 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 healthy participant bias.
Participant Demographics
379 patients, 43.0% men, average age 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)
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