Association of Sustained Blood Pressure Control with Lower Risk for High-Cost Multimorbidities Among Medicare Beneficiaries in ALLHAT

ABSTRACT Background Clustering of chronic conditions is associated with high healthcare costs. Sustaining blood pressure (BP) control could be a strategy to prevent high-cost multimorbidity clusters. Objective To determine the association between sustained systolic BP (SBP) control and incident mult...

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Veröffentlicht in:	Journal of general internal medicine : JGIM 2021-08, Vol.36 (8), p.2221-2229
Hauptverfasser:	Bowling, C. Barrett, Sloane, Richard, Pieper, Carl, Luciano, Alison, Davis, Barry R., Simpson, Lara M., Einhorn, Paula T., Oparil, Suzanne, Muntner, Paul
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Antihypertensive Agents - therapeutic use Antihypertensives Asthma Blood Pressure Cardiovascular disease Cardiovascular diseases Chronic conditions Chronic illnesses Chronic obstructive pulmonary disease Clustering Cohort Studies Comorbidity Congestive heart failure Coronary artery disease Diuretics Government programs Health risks Heart diseases Humans Hypertension Hypertension - drug therapy Hypertension - epidemiology Incidence Internal Medicine Kidney diseases Lipids Lung diseases Medicare Medicine Medicine & Public Health Multimorbidity Myocardial infarction Obstructive lung disease Original Research Risk analysis Risk Factors Risk management Stroke United States - epidemiology
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Zusammenfassung:	ABSTRACT Background Clustering of chronic conditions is associated with high healthcare costs. Sustaining blood pressure (BP) control could be a strategy to prevent high-cost multimorbidity clusters. Objective To determine the association between sustained systolic BP (SBP) control and incident multimorbidity cluster dyads and triads. Design Cohort study of Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) linked to Medicare claims. Participants ALLHAT included adults with hypertension and ≥1 coronary heart disease risk factor. This analysis was restricted to 5234 participants with ≥ 8 SBP measurements during a 48-month BP assessment period. Main Measures SBP control was defined as
ISSN:	0884-8734 1525-1497
DOI:	10.1007/s11606-021-06623-w