Clinical Inertia in the Diagnosis and Management of Hypertension Following Ambulatory Blood Pressure Monitoring.

ABSTRACT:

Background

Clinical inertia is common after office blood pressure (BP) is high. Little is known about clinical inertia after ambulatory BP monitoring (ABPM).

Methods

This was an electronic health record-based retrospective cohort study of patients with high office BP (≥140/90 mm Hg) referred for ABPM at a medical center in New York City between 2016 and 2020. Diagnostic inertia was defined as clinicians not newly diagnosing or treating hypertension in patients with high ABPM (i.e., mean awake BP ≥135/85 mm Hg). Therapeutic inertia was defined as clinicians not intensifying treatment for patients with established hypertension after high ABPM. Multilevel modeling was used to assess patient and clinician characteristics associated with inertia.

Results

Among 329 patients

SUBMITTER: Flatow JS 

PROVIDER: S-EPMC11997245 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature