PROSPECTIVE STUDY TO EVALUATE THE IMPACT OF A DISEASE EDUCATION PROGRAM OF CARDIOVASCULAR RISK CONTROL IN HYPERTENSION

Author(s)

Jordi Galera, Life, Sciences, HOR Coordinator1, Jorge Salazar, MD, Medical Advisor1, Pedro Armario, MD, Internal Medicine2, Julián Segura, MD, Hypertension31Novartis Farmacéutica S.A, Barcelona, Spain; 2 Hospital General de L'Hospitalet, L'Hospitalet de Llobregat (Barcelona), Spain; 3 Hospital 12 de Octubre, Madrid, Spain

OBJECTIVES: To evaluate the effectivity of an education program, measuring the percentage of patients with blood pressure control at the end of a follow-up period in comparison to baseline. METHODS: Prospective and multicentric study realized in Hypertension Units (HU) and Primary Care (PC) centers in Spain. Physicians included outpatients ≥18 years with not controlled essential hypertension (BP>140/90 or BP>130/80 mmHg if diabetic or previous CV events and BP<180/110 mmHg). Patients were followed for five months in four scheduled visits. At V0 blood pressure, patient demographics, medical and drug history, CV risk factors and lifestyle were assessed using standardized methods. Between V0 and V1 the intervention consists in medical education for physicians on CV risk control and guidelines. During V1 and V2 patients received education and support. At V3 we assessed the overall intervention in BP control. Informed consent was obtained. RESULTS: A total of 316 patients were recruited, 64.2% in PC and 35.8% in HU centers (62.8±12.1 years, 51.6% males, BMI 29.8±5.1 Kg/m2). Mean office BP was 156.0±14.3/89.4±10.9 (mean AMPB daytime 141.4±12.7/86.5±11.3) mmHg at baseline. Obesity (60.6%), dyslipemia (53.4%), type-2 diabetes (23.1%), target organ damage (16.6%), smoking habits (16.6%) and coronary artery disease (12.8%) were the most prevalent CV risk factors. A total of 82.4% of patients completed satisfactorily the intervention. Mean BP had a decreasing trend along the study: at V1 mean BP was 143.1±16.9/82.8±11.5, at V2 was 137±13.1/79,5±9.1 and at V3 was 135.0±12.4/77,8±8.8. At the end of the study 52.7% of patients reach the BP goal during the 5–month intervention study. CONCLUSIONS: Based on this results, medical and patient education determine a greater BP control, hence more educational actions are needed to increase BP control.

Conference/Value in Health Info

2008-11, ISPOR Europe 2008, Athens, Greece

Value in Health, Vol. 11, No. 6 (November 2008)

Code

PCV101

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Treatment Patterns and Guidelines

Disease

Cardiovascular Disorders

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