Association of Sustained Blood Pressure Control with Lower Risk for High-Cost Multimorbidities Among Medicare Beneficiaries in ALLHAT.

ABSTRACT:

Background

Clustering of chronic conditions is associated with high healthcare costs. Sustaining blood pressure (BP) control could be a strategy to prevent high-cost multimorbidity clusters.

Objective

To determine the association between sustained systolic BP (SBP) control and incident multimorbidity cluster dyads and triads.

Design

Cohort study of Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) linked to Medicare claims.

Participants

ALLHAT included adults with hypertension and ≥1 coronary heart disease risk factor. This analysis was restricted to 5234 participants with ≥ 8 SBP measurements during a 48-month BP assessment period.

Main measures

SBP control was defined as <140 mm Hg at <50%, 50 to <75%, 75 to <100%, an

SUBMITTER: Bowling CB 

PROVIDER: S-EPMC8342657 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature