Control of blood pressure in North Carolina primary care: baseline data from the GLAD Heart Trial.
BACKGROUND
In general, adherence to blood pressure guidelines is low. We assessed whether hypertension recognition and control in North Carolina was consistent with the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) in primary care practices participating in a quality improvement study regarding the implementation of the ATP3 cholesterol management guideline in primary care in North Carolina (GLAD Heart).


METHODS
Demographic and clinical data were abstracted from 5,073 charts (patients aged 21-84 years, seen from June 1, 2001 to May 31, 2003) at 60 practices. Sites were non-university based primary care practices from 22 North Carolina counties. A dyslipidemia screening was defined as a lipid profile performed when not on lipid-lowering therapy. Among patients receiving a lipid profile, the proportion with diagnosed, undiagnosed, and controlled hypertension, was calculated according to JNC 7 guidelines. Practice level hypertension control was examined using the median and interquartile range across practices.


RESULTS
Among 1,763 patients screened for dyslipidemia, 49.4% had diagnosed hypertension. Only 67 individuals (3.8%) had undiagnosed hypertension. Although 85.8% of hypertensive patients were treated, the median proportions of patients with blood pressure below goal (< 140/90, < 130/80 with diabetes) was 33.3% (21.8%-43.7%), with women more likely to be controlled and individuals treated by a solo provider less likely to be controlled.


CONCLUSIONS
These data were abstracted from the charts of patients who received a lipid profile; therefore, they are only generalizable to individuals who are screened for hyperlipidemia.


CONCLUSIONS
There remains a need to improve hypertension management in North Carolina primary care among patients screened for hyperlipidemia.
Rosenberger
Erica L
EL
Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, USA. erosenbe@wfubmc.edu
Goff
David C
DC
Davis
Cralen C
CC
Blackwell
Caroline S
CS
Bertoni
Alain G
AG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D001795:Blood Pressure Determination; D003710:Demography; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D006949:Hyperlipidemias; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D012189:Retrospective Studies; D012307:Risk Factors