Factors influencing blood pressure control in patients with atrial fibrillation and hypertension in Australian primary care
Authors' conclusion
Uncontrolled BP was more likely in women and adults ≥75 years. Patients who had frequent GP visits with the same clinician were more likely to have BP controlled and receive guideline-recommended antihypertensive treatment.
Study context
- Population
- Patients with atrial fibrillation (AF) and hypertension in Australian general practices
- Participants
- 34,815 patients
- Outcome
- BP control (controlled BP <140/90 mm Hg)
Methodological detailsretrospective, MedicineInsight database
- Retrospective
- MedicineInsight database
Main finding
As reported in the abstract
Uncontrolled BP
Uncontrolled blood pressure (BP)
38.0%
Observational data: associations, not effects.
Further findings
Controlled BP, by sex and age
| OR (95% CI) | P value | ||
|---|---|---|---|
| Women | 0.72 (0.68–0.76) | P < 0.001 | |
| Adults ≥75 years | 0.78 (0.70–0.86) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Controlled BP, by continuity of care and frequent GP visits (model 1)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Greater CoC | 1.29 (1.20–1.40) | P < 0.001 | |
| Frequent GP visits | 1.71 (1.58–1.85) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Prescribed ≥2 types of BP-lowering medicines (model 2)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Greater CoC | 1.12 (1.03–1.23) | P = 0.011 | |
| Frequent GP visits | 1.80 (1.63–1.98) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Original publication
Factors influencing blood pressure control in patients with atrial fibrillation and hypertension in Australian primary care. Heart. Published 20 July 2023. doi:10.
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