TITLE

Vital Signs: Prevalence, Treatment, and Control of Hypertension -- United States, 1999-2002 and 2005-2008

AUTHOR(S)
Gillespie, C.; Kuklina, E. V.; Briss, P. A.; Blair, N. A.; Hong, Y.
PUB. DATE
February 2011
SOURCE
MMWR: Morbidity & Mortality Weekly Report;2/4/2011, Vol. 60 Issue 4, p103
SOURCE TYPE
Periodical
DOC. TYPE
Article
ABSTRACT
Background: Hypertension is a modifiable risk factor for cardiovascular disease. It affects one in three adults in the United States and contributes to one out of every seven deaths and nearly half of all cardiovascular disease-related deaths in the United States. Methods: CDC analyzed data from the National Health and Nutrition Examination Survey (NHANES) on the prevalence, treatment, and control of hypertension among U.S. adults aged =18 years. Hypertension was defined as an average blood pressure =140/90 mmHg or the current use of blood pressure-lowering medication. Control of hypertension was reported as an average treated systolic/diastolic blood pressure <140/90 mmHg. Multivariate analysis was performed to assess changes in prevalence of hypertension, use of pharmacologic treatment, and control of blood pressure between the 1999-2002 and 2005-2008 survey cycles. Results: During 2005-2008, approximately 68 million (31%) U.S. adults aged ≥ 18 years had hypertension, and this prevalence has shown no improvement in the past decade. Of these adults, 48 million (70%) were receiving pharmacologic treatment and 31 million (46%) had their condition controlled. Although 86% of adults with uncontrolled blood pressure had medical insurance, the prevalence of blood pressure control among adults with hypertension was especially low among participants who did not have a usual source of medical care (12%), received medical care less than twice in the previous year (21%), or did not have health insurance (29%). Control prevalence also was low among young adults (31%) and Mexican Americans (37%). Although the prevalence of hypertension did not change from 1999-2002 to 2005-2008, significant increases were observed in the prevalence of treatment and control. Conclusions: Hypertension affects millions of persons in the United States, and less than half of those with hypertension have their condition controlled. Prevalence of treatment and control are even lower among persons who do not have a usual source of medical care, those who are not receiving regular medical care, and those who do not have health insurance. Implications for Public Health Practice: To improve blood pressure control in the United States, a comprehensive approach is needed that involves policy and system changes to improve health-care access, quality of preventive care, and patient adherence to treatment. Nearly 90% of persons with uncontrolled hypertension have health insurance, indicating a need for health-care system improvements. Health-care system improvements, including use of electronic health records with registry and clinical decision support functions, could facilitate better treatment and follow-up management, and improve patient-physician interaction. Allied health professionals (e.g., nurses, dietitians, health educators and pharmacists) could help increase patient adherence to medications. Patient adoption of healthy behaviors could improve their blood pressure control. Reducing dietary intake of salt would greatly support prevention and control of hypertension; a 32% decrease in average daily consumption, from 3,400 mg to 2,300 mg, could reduce hypertension by as many as 11 million cases. Further reductions in sodium intake to 1,500 mg/day could reduce hypertension by 16.4 million cases.
ACCESSION #
58692507

 

Related Articles

  • DX Mitters for Rheumatic Aortic Stenosis.  // Anesthesia & Pain Management Coding Alert;Apr2010, Vol. 12 Issue 4, p32 

    The article provides an answer to a question in choosing which code should be used in claiming medical care reimbursements for balloon valvuoplasty, a medical procedure performed by the anesthesiologist.

  • Getting paid for management of cardiometabolic disorders. Martin, Virgina // Medical Economics;10/9/2009, Vol. 86 Issue 19, p53 

    The article provides answer to a question concerning the ways to provide proper care to patient population as well as receive proper reimbursement in return.

  • July 2012 Editorial. Patterson, Pat // OR Manager;Jul2012, Vol. 28 Issue 7, p1 

    An introduction is presented in which the editor discusses various reports within the issue on topics including one related to Medical reimbursement, the other on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and the third on the nursing care.

  • Bolster Documentation to Keep Long-Stay HTN Claims Secure.  // Home Health ICD-9 Alert;Aug2012, Vol. 9 Issue 8, p61 

    The article lists the documentary precautions that need to be taken by the health care providers while listing a hypertension diagnosis for the patients to avoid mediclaim denials. An improper observation and assessment of the patients often leads to unspecified listings, hence causing denials....

  • Real-World Consequences of the 2013 ACC/AHA Cholesterol Guidelines for the Prevention of Cardiovascular Disease. Jackson, Joseph D. // American Health & Drug Benefits;Nov2014, Vol. 7 Issue 8, p442 

    The article discusses the implications of the 2013 American College of Cardiology/American Heart Association (ACC/AHA) cholesterol guidelines for the prevention of cardiovascular disease on researchers/providers, payers and patients. Topics discussed include belief by guideline authors and...

  • OASIS education ensures accurate reimbursement.  // Hospital Home Health;Oct2009, Vol. 26 Issue 10, p113 

    No abstract available.

  • Reimbursement basics. Isenberg, Steven F. // ENT: Ear, Nose & Throat Journal;Apr2003, Vol. 82 Issue 4, p260 

    Answers quiries related to medical care costs. Rules on Medicare reimbursements; Definition of unbundling; Information on correct coding initiatives.

  • Nebulizer coding made easy.  // Medical Economics;11/7/2003, Vol. 80 Issue 21, p22 

    Presents guidelines on how to report nebulizer sessions effectively so that each procedures performed within the session could be properly billed. Suggestion to bill private payers for pulse oximetry; Delineation that spirometry and inhalation treatments are different procedures and should be...

  • Getting paid for lab, medical, education work. Martin, Virginia // Medical Economics;4/10/2011, Vol. 88 Issue 7, p74 

    The article provides an answer to a question on how can a medical practice be reimbursed for the laboratory and medical services it provides in the rural setting in the U.S.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics