Nurse-led clinics for strict hypertension control are effective long term: a 7 year follow-up study

Diabetic Medicine : a Journal of the British Diabetic Association
A WoodwardG Gill

Abstract

The primary aim was to assess long-term blood pressure in 110 patients with Type 2 diabetes who had achieved optimal blood pressure control during attendance at a protocol-based nurse-led hypertension intensive intervention clinic 7 years previously. The secondary aim was to assess modifiable cardiovascular risk factor status. One hundred and ten patients who attended the clinic during 2000-2002 were selected to reattend to have their blood pressure measured to the same standard as it was during the intensive intervention clinic, by the same specialist nurse. Treatment details were recorded. Of the 110 patients, 36 (33%) had died; 69 (63%) of the remaining 74 patients were eligible to be contacted by letter; and 35 (51%) agreed to reattend. Age was 70 +/- 9 years; 21 (60%) were male; and the duration of diabetes was 17 +/- 7 years. Compared with 7 years previously, there was no difference in blood pressure control (systolic 130 +/- 17 vs. 131 +/- 16 mmHg, P = 0.62; diastolic 68 +/- 9 vs. 65 +/- 9 mmHg, P = 0.11). The number of patients with blood pressure <130/80 mmHg remained the same: 17 (49%) vs. 17 (49%; P > 0.99). During the 7 year period, 14 (40%) vs. 20 (57%) had macrovascular disease (P = 0.23), and 14 (40%) vs. 19 (54%...Continue Reading

References

Jan 31, 2003·The New England Journal of Medicine·Peter GaedeOluf Pedersen
Feb 20, 2004·Journal of Human Hypertension·B WilliamsUNKNOWN British Hypertension Society
Dec 21, 2005·Heart·UNKNOWN British Cardiac SocietyUNKNOWN Stroke Association
Jul 18, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·A WoodwardG Gill
Aug 17, 2006·The Annals of Pharmacotherapy·L Maria GutschiTeik Chye Ooi
Feb 8, 2008·The New England Journal of Medicine·Peter GaedeOluf Pedersen
Sep 12, 2008·The New England Journal of Medicine·Rury R HolmanDavid R Matthews

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Citations

Apr 3, 2012·Primary Health Care Research & Development·Sarah R Kingsbury, Philip G Conaghan

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