Effect of intensive structured care on individual blood pressure targets in primary care: multicentre randomised controlled trial.

ABSTRACT:

Objective

To determine the effectiveness of intensive structured care to optimise blood pressure control based on individual absolute risk targets in primary care.

Design

Pragmatic multicentre randomised controlled trial.

Setting

General practices throughout Australia, except Northern Territory, 2009-11.

Participants

Of 2185 patients from 119 general practices who were eligible for drug treatment for hypertension according to national guidelines 416 (19.0%) achieved their individual blood pressure target during a 28 day run-in period of monotherapy. After exclusions, 1562 participants not at target blood pressure (systolic 150 (SD 17) mm Hg, diastolic 88 (SD 11) mm Hg) were randomised (1:2 ratio) to usual care (n=524) or the intervention (n=1038).

Interventi

SUBMITTER: Stewart S 

PROVIDER: S-EPMC3502035 | biostudies-literature | 2012 Nov

REPOSITORIES: biostudies-literature