title: Higher blood pressure control rate in a real life management program provided by the community health service center in China.
abstract: BACKGROUND
  Community health service center (CHSC) in China is always regarded as a good facility of primary care, which plays an important role in chronic non-communicable disease management. This study aimed to investigate the blood pressure (BP) control rate in a real life CHSC-based management program and its determinants.
  
  
  METHODS
  The study enrolled 3191 patients (mean age of 70 ± 10 years, 43% males) in a hypertension management program provided by the Yulin CHSC (Chengdu, China), which had been running for 9 years. Uncontrolled BP was defined as the systolic BP of ≥140 mmHg and/or the diastolic BP of ≥90 mmHg, and its associated factors were analyzed by using logistic regression.
  
  
  RESULTS
  The duration of stay in the program was 33 ± 25 months. When compared with the BP at entry, the recent BP was significantly lowered (147 ± 17 vs. 133 ± 8 mmHg; 83 ± 11 vs. 75 ± 6 mmHg) and the BP control rate was dramatically increased (32 vs. 85%) (all p < 0.001). The age of >70 years [1.40 (odds ratio), 1.15-1.71 (95% confidence interval)], female gender (0.76, 0.63-0.93), longer stay of >33 months (0.77, 0.63-0.94), doctor in charge (0.97, 0.95-0.99), and the use of calcium channel blocker (1.35, 1.09-1.67) were significantly related to uncontrolled BP at the recent follow up (all p < 0.05).
  
  
  CONCLUSIONS
  This CHSC-run hypertension program provides an ideal platform of multi-intervention management, which is effective in achieving higher BP control rate in community patient population. However, the BP control status could be affected by age, gender and adherence of the patients, as well as practice behavior of the doctors.
authors.forename: Xiao-Jing
authors.initials: XJ
authors.lastname: Chen
authors.forename: Xi-Lian
authors.initials: XL
authors.lastname: Gao
authors.forename: Gui-Ying
authors.initials: GY
authors.lastname: You
authors.forename: Jing
authors.initials: J
authors.lastname: Jiang
authors.forename: Xiao-Lin
authors.initials: XL
authors.lastname: Sun
authors.forename: Xiao
authors.initials: X
authors.lastname: Li
authors.forename: Yu-Cheng
authors.initials: YC
authors.lastname: Chen
authors.forename: Yu-Jia
authors.initials: YJ
authors.lastname: Liang
authors.affiliation: Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. qzhang2000cn@yahoo.com.
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhang
authors.forename: Zhi
authors.initials: Z
authors.lastname: Zeng
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure / Q000187:drug effects; D001795:Blood Pressure Determination; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D002681:China; D003153:Community Health Services; D005260:Female; D006801:Humans; D006973:Hypertension / Q000517:prevention & control*; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care
chemical_list: D002121:Calcium Channel Blockers
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