COVID-19 pandemic impact on hypertension management in North East London: an observational cohort study using electronic health records.

Publication date: Aug 06, 2024

There are established inequities in the monitoring and management of hypertension in England. The COVID-19 pandemic had a major impact on primary care management of long-term conditions such as hypertension. This study investigated the possible disproportionate impact of the pandemic across patient groups. Open cohort of people with diagnosed hypertension. North East London primary care practices from January 2019 to October 2022. All 224 329 adults with hypertension registered in 193 primary care practices. Monitoring and management of hypertension were assessed using two indicators: (i) blood pressure recorded within 1 year of the index date and (ii) blood pressure control to national clinical practice guidelines. The proportion of patients with a contemporaneous blood pressure recording fell from a 91% pre-pandemic peak to 62% at the end of the pandemic lockdown and improved to 77% by the end of the study. This was paralleled by the proportion of individuals with controlled hypertension which fell from a 73% pre-pandemic peak to 50% at the end of the pandemic lockdown and improved to 60% by the end of the study. However, when excluding patients without a recent blood pressure recording, the proportions of patients with controlled hypertension increased to 81%, 80% and 78% respectively. Throughout the study, in comparison to the White ethnic group, the Black ethnic group was less likely to achieve adequate blood pressure control (ORs 0. 81 (95% CI 0. 78 to 0. 85, p

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Concepts Keywords
Epidemiology Adult
Hypertension Aged
London Antihypertensive Agents
Antihypertensive Agents
Blood Pressure
Blood Pressure
Blood Pressure Determination
Cardiovascular Disease
Cohort Studies
COVID-19
Electronic Health Records
Female
Health Equity
Humans
Hypertension
Hypertension
London
Male
Middle Aged
Pandemics
Primary Care
Primary Health Care
PUBLIC HEALTH
SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease MESH hypertension
disease IDO blood

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