Predictive Models for Sustained, Uncontrolled Hypertension and Hypertensive Crisis Based on Electronic Health Record Data: Algorithm Development and Validation.

ABSTRACT:

Background

Assessing disease progression among patients with uncontrolled hypertension is important for identifying opportunities for intervention.

Objective

We aim to develop and validate 2 models, one to predict sustained, uncontrolled hypertension (≥2 blood pressure [BP] readings ≥140/90 mm Hg or ≥1 BP reading ≥180/120 mm Hg) and one to predict hypertensive crisis (≥1 BP reading ≥180/120 mm Hg) within 1 year of an index visit (outpatient or ambulatory encounter in which an uncontrolled BP reading was recorded).

Methods

Data from 142,897 patients with uncontrolled hypertension within Atrium Health Greater Charlotte in 2018 were used. Electronic health record-based predictors were based on the 1-year period before a patient's index visit. The dataset was randomly spl

SUBMITTER: Nguyen HM 

PROVIDER: S-EPMC11533385 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature