期刊
JOURNAL OF CLINICAL HYPERTENSION
卷 19, 期 12, 页码 1288-1297出版社
WILEY
DOI: 10.1111/jch.13096
关键词
clinical management of high blood pressure; hypertension-general; primary care issues
资金
- Clinical and Translational Science Award program
- National Center for Advancing Translational Sciences of the National Institutes of Health (NIH) [UL1TR000427]
- National Heart, Lung, and Blood Institute of the NIH [K23HL112907]
- National Institute of Arthritis and Musculoskeletal and Skin Diseases of the NIH [K23AR062381]
- UW Health Innovation Program
- University of Wisconsin (UW) School of Medicine and Public Health from The Wisconsin Partnership Program
Young adults (aged 18 to 39years) have the lowest hypertension control rates compared with older adults. Shorter follow-up encounter intervals are associated with faster hypertension control rates in older adults; however, optimal intervals are unknown for young adults. The study objective was to evaluate the relationship between ambulatory blood pressure encounter intervals (average number of provider visits with blood pressures over time) and hypertension control rates among young adults with incident hypertension. A retrospective analysis was conducted of patients aged 18 to 39 years (n = 2990) with incident hypertension using Kaplan-Meier survival and Cox proportional hazards analyses over 24months. Shorter encounter intervals were associated with higher hypertension control: <1month (91%), 1 to 2 months (76%), 2 to 3 months (65%), 3 to 6 months (40%), and >6months (13%). Young adults with shorter encounter intervals also had lower medication initiation, supporting the effectiveness of lifestyle modifications. Sustainable interventions for timely young adult follow-up are essential to improve hypertension control in this hard-to-reach population.
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