Hypertension

The focused and cheap measures had improved the control and the treatment of high pressure of the blood between veterans, in accordance with a presented study scientific forum of the American association of the heart in in the quality of the research of the care and the results in the cardiovascular illness and the course.

The investigators had observed 53,936 patients of the cases of veteran (VA) per 39 weeks (21 weeks before and 18 weeks after interventions) during visits of outpatient for hypertension. Of the group, 33,967 (63 percent) had reached its objective of the blood pressure. The ratio that reached its objective varied the exceeding time: pre intervention - 61,8 percent reached the objective against the intervention of the post - 64,3 percent.

The control of total pressure, absolute of the blood improved 2,5 percent during the period of the intervention, translating others 1,349 people who had obtained the control on hypertension.

“on a period four-month we could detach the importance of the control of pressure of the blood with the suppliers and the patients of the hospital of the cases of veteran and make some small but significant changes,” we said Christianne Roumie, M.D., M.P.H., author of the linking of the study and doctor of the team of employees for the system of Healthcare of the valley of Tennessee of the cases of veterans.

Because hypertension is the chronic condition more generally treated in hospitals to the VA, the head of the employees created a committee of the improvement of the performance for optimize the local care of hypertension, said Roumie.

The pressure of raised blood, or hypertension, in an adult systolic of 140 millimeters of mercury (millimeter hectogram) or more highly and/or of a pressure is pressure diastolic of 90 millimeters hectogram or more highly. The pressure of high blood increases the risk of the cardiopath of attack, the angina, the course, the imperfection of kidney, the peripheral illness of artery (CUSHION) and the development of deposits fatty in arteries (atherosclerosis). The risk of the heart imperfection also increases due to workload extra places of this pressure of blood raised in the heart.

“so that the patients control a chronic illness efficiently, such as hypertension, needs the information that is easy to understand and needs to be involved in the process of decision taking,” they had said Roumie, a professor assistant of the internal medicine and pediatrics in the university of Vanderbilt in Nashville, Tenn.

The investigators had identified four interventions:

• It improves the measure and the documentation of the blood pressure using a protocol of the cares.
• Inice patient efforts of the instruction in visits and patients of the elasticity a card of the wallet of the blood pressure thus that they could follow its proper pressures and objectives of blood.
• It distributes guidelines of the treatment in cards of the pocket to the suppliers and indicates the posters that sketch algorithms of the treatment.
• Inice audit/feedback of the supplier and the firm performance.

Roumie said that reducing the blood pressure and to start patient its objective it has the potential if to reduce:

• illness and death of the course for 42 percent;
• illness of heart for 14 percent the 20 percent; e
• imperfection of heart for 30 percent the 50 percent.

Prevalence 2005 esteem for the pressure of blood raised in the United States was 73 million (approximately 34 million men and 39 million women). One in three adults of United States has the pressure of raised blood, in accordance with statistics of the illness and the course of heart of the American association of the heart - update 2008.

The benefits derived from the study can be executed in the other VA of the hospitals and non in the VA; however, each system of healthcare “must make some work in the front extremity to understand that barriers to the care exist, specifically, for its proper system,” said Roumie.

The article was adaptou today for Medical Notice of the release of the original press.

The research was financed through the medical center of the local VA.

The co-authors are: Neesha N. Choma, M.D.; Robert L. Huang, M.D., M.p.h.; Robert S. Dittus, M.D., M.p.h.; e Kathy And Burnham, R.N., M.A., B.S.N.

Of the pressure of high blood of the American association of the heart the Web site characterizes the educational information and resources that the patients can use to help to obtain its objective of the blood pressure, including a linking to the center of the management of the pressure of blood of HealthVaultMicrosoft. For the information on the pressure of high blood and to reach the center of the management of the blood pressure, it visits http://www.americanheart.org/hbp.

The indications and the conclusions of the presented abstract authors in scientific meetings of the American association of the course of the Association/American heart are solely those of the abstract authors and they necessarily do not reflect the politics or the position of the association. The association does not make no respresentao or guarantee regarding its exactness or trustworthiness.

NR08-1055 (QCOR 08/Roumie)
Summary 161

Source: Karen Astle
American Association Of The Heart