Unknown

Dataset Information

0

Effectiveness of multidisciplinary intervention on blood pressure control in primary health care: a randomized clinical trial.


ABSTRACT: Hypertension is a public health problem and a major risk factor for cardiovascular disease. The purpose of this study is to compare the effectiveness of a multidisciplinary program based on group and individual care versus group-only care, to promote blood pressure control in hypertensive patients in primary health care.Randomized controlled clinical trial. The study was conducted within the primary health care, in two units of the Family Health Strategy, covering 11,000 individuals, in Porto Alegre, Brazil. Two hundred and 56 patients, older than 40 years old and with uncontrolled hypertension, systolic blood pressure (BP) ?140 mmHg and/or diastolic BP ?90 mmHg or ?130 mmHg and/or diastolic BP ?80 mmHg for individuals with diabetes. Eligible patients were randomly assigned to a health care program aiming for blood pressure control, with the multidisciplinary program group or with the multidisciplinary program plus personalized care group. Primary outcome measures were reduction in systolic BP from baseline to 6 months. Secondary measures included proportion of patients with systolic or diastolic BP controlled. Student t test, Pearson's chi-squared test, Fisher's exact test, Mann-Whitney U test, Wilcoxon signed-ranks test and generalized estimating equation (GEE) model were used in the analysis.The baseline characteristics of participants were similar between groups. After 6 months of follow-up, systolic BP decreased markedly in both groups (? - 11.8 mmHg [SD, 20.2] in the multidisciplinary program group and ? - 12.9 mmHg [SD, 19.2] in the personalized care group; p?

SUBMITTER: Kuhmmer R 

PROVIDER: S-EPMC5006538 | BioStudies | 2016-01-01

REPOSITORIES: biostudies

Similar Datasets

2018-01-01 | S-EPMC6310249 | BioStudies
1000-01-01 | S-EPMC5460704 | BioStudies
2014-01-01 | S-EPMC4206524 | BioStudies
2019-01-01 | S-EPMC7019440 | BioStudies
2020-01-01 | S-EPMC7584978 | BioStudies
1000-01-01 | S-EPMC5707716 | BioStudies
2018-01-01 | S-EPMC5943389 | BioStudies
2016-01-01 | S-EPMC4791814 | BioStudies
2021-01-01 | S-EPMC7806663 | BioStudies
1000-01-01 | S-EPMC6148791 | BioStudies