Effects of a Comprehensive Intervention on Blood Pressure Control in a Primary Care Setting

Finnish Institute for Health and Welfare

Status: Completed

Conditions: Hypertension

Treatments: Other: Intensive Care

Study type: Interventional

Funder types: Other

Identifiers

NCT01915199

UVEL

Details and patient eligibility

About

The implementation of lifestyle modifications, home blood pressure (BP) measurement, and optimization of antihypertensive drug therapy have been shown to improve BP control in tightly controlled research settings. The investigators objective is to determine the effect of these interventions in a primary care setting, with the family practitioners and nurses serving as the interventionists. The investigaotrs hypothesis is that a comprehensive intervention performed in a primary care setting would lead to better blood pressure control.

Enrollment: 144 patients

Sex: All

Ages: 35 to 74 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 35-74 years
• Untreated office blood pressure of ≥ 160/100 mmHg or on active antihypertensive treatment.

Exclusion criteria

• Severe psychiatric or neurologic illnesses
• Heart failure (ejection fraction < 40% or previous hospitalization for heart failure)
• Hemodynamically significant valvular disease
• Unstable coronary heart disease
• Chronic kidney disease (proteinuria > 1 g/l or a serum creatinine concentration > 160 mmol/l)

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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144 participants in 2 patient groups

Intervention

Experimental group

Description:

Patients in this arm received a comprehensive intervention on hypertension through optimization of drug therapy, introduction of home blood pressure monitoring, and lifestyle guidance.

Treatment:

Other: Intensive Care

Control

No Intervention group

Description:

Patients randomized in this group did not receive any intervention and treatment continued according to conventional practice.