Delays in prognosis of hypertension are widespread and related to delays in remedy initiation, in line with a research printed on-line July 14 in JAMA Community Open.
Yuan Lu, Sc.D., from Yale New Haven Hospital in Connecticut, and colleagues examined the timing of scientific hypertension prognosis and its affiliation with antihypertensive medicine prescribing and long-term cardiovascular outcomes in a retrospective cohort research. Adults aged 18 to 85 years with not less than two outpatient blood strain (BP) readings of 140/90 mm Hg or extra recorded not less than 30 days aside from Jan. 1, 2010, to Dec. 31, 2021, have been included.
Amongst 311,743 sufferers with a computed hypertension prognosis, 14.6% obtained a prognosis after the second BP elevation. The researchers discovered an affiliation for delayed prognosis with decrease antihypertensive medicine prescription charges (30.6% versus 75.2%) and with elevated cardiovascular danger over 5 years (hazard ratios, 1.04, 1.11, and 1.29 for delay of 1 to 90, 91 to 365, and >twelve months, respectively).
Components related to better delay in scientific prognosis of hypertension included youthful age (median delay, 17.5 and 13.4 months for 45 to 64 years and 75 years and older, respectively), feminine intercourse (median delay, 16.6 versus 16.1 months for male intercourse), and non-Hispanic Asian or non-Hispanic Black race (median delay, 18.5 and 17.2 months versus 16.3 months for non-Hispanic White).
“Interventions leveraging EHR [electronic health record] systems may help facilitate earlier recognition and treatment of hypertension, potentially reducing cardiovascular risk,” the authors write.
A number of authors disclosed ties to the pharmaceutical and well being care knowledge industries.
Extra data:
Yuan Lu et al, Delayed Hypertension Prognosis and Its Affiliation With Cardiovascular Therapy and Outcomes, JAMA Community Open (2025). DOI: 10.1001/jamanetworkopen.2025.20498
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Delays in hypertension prognosis linked to delays in medicine prescribing (2025, July 17)
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