Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Perl, S; Riegelnik, V; Mrak, P; Ederer, H; Rakovac, I; Beck, P; Kraler, E; Stoff, I; Winklehner, S; Klima, G; Pieske, BM; Pieber, TR; Zweiker, R.
Effects of a multifaceted educational program on blood pressure and cardiovascular risk in hypertensive patients: the Austrian herz.leben project.
J Hypertens. 2011; 29(10):2024-2030
Doi: 10.1097/HJH.0b013e32834aa769
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Perl Sabine
- Co-Autor*innen der Med Uni Graz
- Pieber Thomas
- Pieske Burkert Mathias
- Riegelnik Vesna
- Zweiker Robert
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- Abstract:
- Objective Although hypertension is the most prevalent risk factor for cardiovascular and cerebrovascular morbidity and mortality, the level of blood pressure control remains poor. To amplify quality of care in hypertensive patients, a multifaceted program consisting of structured educational programs for both patients and staff, structured documentation and feedback reports with peer comparison, was implemented on a multicentre basis. Main targets were improvement of blood pressure control and reduction of cardiovascular risk. A provisional reimbursement was provided. Methods Patients were eligible for inclusion in the program if office blood pressure was uncontrolled (> 160/95 or > 140/90 mmHg) in addition to elevated cardiovascular risk [> 15% according to the New Zealand Risk Score (NZRS)]. Blood pressure and lipid panels were measured at entry in the program and after 12 months. Patients attended four educational units held by hypertension nurses and physicians. All data were collected in structured documentation sheets and benchmarking reports were provided every 6 months. Results Two thousand and forty-one patients were enrolled in the program within 5 years and 3 months; 54% female, age 62.8 +/- 11.1years, BMI 29.50 +/- 7.88 kg/m(2) (mean +/- SD). To date, 744 patients have been seen at 1-year follow-up. Entry blood pressure was 156.1 +/- 20.8/88.9 +/- 11.1 mmHg. Total cholesterol showed mean levels of 207.0 +/- 46.0mg/dl, low-density lipoprotein 122.3 +/- 41.6 mg/dl, high-density lipoprotein 57.2 +/- 22.4 mg/dl and calculated cardiovascular risk level (NZRS) was 17.28 +/- 8.29%. One year following the educational program, blood pressure was reduced to 139.2 +/- 15.6 (P < 0.001)/82.1 +/- 9.5 mmHg (P < 0.001). NZRS (14.1 +/- 7.2%; P < 0.001) and BMI (29.26 +/- 4.92 versus 29.06 +/- 4.99) also improved significantly. Conclusion This structured educational program showed its ability to improve intermediate outcomes in hypertensive patients. Better blood pressure control and significant reduction of the individual cardiovascular risk profile were achieved. A broad implementation of the program in the management of hypertension seems justified. J Hypertens 29:2024-2030 (C) 2011 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Antihypertensive Agents - therapeutic use
- Antihypertensive Agents -
- Blood Pressure - drug effects
- Cardiovascular Diseases - prevention & control
- Female -
- Humans -
- Hypertension - complications Hypertension - drug therapy Hypertension - physiopathology
- Male -
- Middle Aged -
- Patient Education as Topic - methods
- Risk Factors -
- Find related publications in this database (Keywords)
- cardiovascular risk
- educational program
- home blood pressure measurement
- hypertension
- lifestyle modification
- New Zealand Risk Score