Hypertension in Florida: Data From the OneFlorida Clinical Data Research Network

Preventing Chronic Disease
Steven M SmithRhonda M Cooper-DeHoff

Abstract

Hypertension is highly prevalent in Florida, but surveillance through the Behavioral Risk Factor Surveillance System (BRFSS) is limited to self-reported hypertension and does not capture data on undiagnosed hypertension or measure blood pressure. We aimed to characterize the hypertensive population in the OneFlorida Clinical Research Consortium by using electronic health records and provide proof-of-concept for using routinely collected clinical data to augment surveillance efforts. We identified patients with hypertension, defined as having at least 1 outpatient visit from January 2012 through June 2016 with an ICD-9-CM or ICD-10-CM diagnosis code for hypertension, or in the absence of a diagnosis, an elevated blood pressure (systolic ≥140 mm Hg or diastolic ≥90 mm Hg) recorded in the electronic health record at the most recent visit. The hypertensive population was characterized and mapped by zip code of patient residence to county prevalence. Of 838,469 patients (27.9% prevalence) who met the criteria for hypertension, 68% had received a diagnosis and 61% had elevated blood pressure. The geographic distribution of hypertension differed between diagnosed hypertension (highest prevalence in northern Florida) and undiagnosed hy...Continue Reading

References

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Citations

Mar 7, 2020·Circulation. Cardiovascular Quality and Outcomes·Mark J PletcherRhonda M Cooper-DeHoff
Dec 1, 2019·International Journal of Environmental Research and Public Health·Evah W OdoiKristina W Kintziger
Feb 19, 2021·BMC Medical Informatics and Decision Making·Wade L SchulzHarlan M Krumholz

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Software Mentioned

PCORnet
ArcGIS
OneFlorida

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