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Identifying predictors of blood pressure control in the Lebanese population - a national, multicentric survey --

Samir G Mallat1, Serena Abu Samra, Fariha Younes

  • 1Department of Internal Medicine, American University of Beirut, Riad El-Solh, P,O, Box 11-0236, Beirut 11072020, Lebanon. sm104@aub.edu.lb.

BMC Public Health
|November 7, 2014
PubMed

Insights

Achieving early blood pressure control and using combination therapy are key to better hypertension management. Diabetes is a significant predictor of poor blood pressure control, highlighting areas for targeted interventions.

Area of Science:

  • Cardiology
  • Public Health
  • Clinical Medicine

Background:

  • Blood pressure (BP) control remains a challenge in Lebanon, with limited understanding of factors influencing it.
  • Effective hypertension management necessitates identifying patient characteristics and predictors of uncontrolled BP.

Purpose of the Study:

  • To determine predictors of BP control in patients followed for up to 6 months.
  • To identify factors associated with both improved and poor BP control.

Main Methods:

  • The I-PREDICT study involved 988 patients with newly diagnosed or uncontrolled hypertension.
  • Socio-demographic and clinical data were analyzed prospectively.
  • Agreement between physician perceptions and JNC VII guidelines for BP control was assessed.

Main Results:

  • Diabetes was a significant predictor of poor BP control (OR=0.15 at 6 months).
  • Early BP control at 1 month (OR=10.39) and combination therapy (OR=15.14) predicted better 6-month control.
  • In diabetic patients, diet adherence and BP control at V2 were associated with better outcomes, while economic class predicted poor control.
  • BP control rates significantly improved from 44.08% at 1 month to 67.52% at 6 months (P=0.001).

Conclusions:

  • Early BP control and combination therapy are crucial for improved hypertension management.
  • Diabetes is a key factor associated with poor BP control, requiring targeted strategies.
  • A notable discrepancy exists between JNC VII guidelines and clinical practice regarding BP control assessment.
Abstract

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