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Community-based cardiovascular Risk Factors Intervention Strategies (CORFIS) in managing hypertension: A pragmatic
1Clinical Research Center, Clinical Epidemiology Unit, 1st Floor MMA House, 124, Jalan Pahang, Kuala Lumpur 53000 Malaysia. wymenseet@gmail.com.
The Medical Journal of Malaysia
|May 1, 2013
Summary
Community-based intervention strategies significantly improved hypertension management in Malaysian primary care. The Community-Based Cardiovascular Risk Factors Intervention Strategies (CORFIS) program helped more patients achieve target blood pressure goals.
Area of Science:
- Cardiology
- Public Health
- Primary Care Medicine
Background:
- Hypertension is Malaysia's leading cardiovascular risk factor.
- Effective hypertension management in primary care is crucial.
Purpose of the Study:
- To evaluate the effectiveness of Community-Based Cardiovascular Risk Factors Intervention Strategies (CORFIS) for hypertension management.
- To assess CORFIS's impact on achieving target blood pressure in primary care settings.
Main Methods:
- A pragmatic, non-randomized controlled trial involving 70 general practitioners and 486 hypertensive patients.
- Intervention group received CORFIS; control group received conventional care for 6 months.
- Primary outcome: proportion of patients achieving target blood pressure (<140/90mmHg or <130/80mmHg with diabetes).
Main Results:
- Significantly higher proportion of patients achieved target BP in the CORFIS arm (69.6%) versus control (57.6%), P=0.008.
- Among patients with uncontrolled baseline BP, CORFIS led to significantly better BP control (56.6% vs 34.1%, p<0.001).
- CORFIS demonstrated significant reductions in both systolic and diastolic blood pressure compared to conventional care (p=0.003 and p<0.001, respectively).
Conclusions:
- CORFIS care significantly improved patients' ability to achieve target blood pressure.
- This community-based strategy shows promise for enhancing hypertension control in primary care.
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