Effects of community hypertension control technology on the incidence of acute cardiovascular and cerebrovascular events

Abstract

Objective To explore the effects of hypertension community control techniques on the incidence of acute cardiovascular and cerebrovascular events. Methods 3 260 hypertension patients from Honghe Town, Xiuzhou District of Zhejiang Province as intervention group, and 5 686 from adjacent Wangdian Town as control group were recruited in a period from December 2010 to December 2013. The hierarchical management techniques were applied in the intervention group (Honghe) while those in the control (Wangdian) were managed routinely. The proportions of controlled hypertension, occurrence of acute cardiovascular and cerebrovascular events were compared between the two groups. Results The proportion of controlled hypertension in intervention group are 80.37% which was significantly higher than that in control group 59.85% (P<0.01). From 2011 to 2013, the occurrence of acute cardiovascular and cerebrovascular events were 205 (721/100 000) in intervention group vs. 607(1 282/100 000) in control group (P<0.01), and deaths were 50 (176/100 000) in intervention group vs. 139 (293/100 000) in control group (P<0.01) respectively. There was significant difference between the two groups. Conclusions Hypertension community control techniques could effectively increase the proportion of controlled hypertension cases, therefore result in the reduction of incidence of acute cardiovascular and cerebrovascular events. Its effect is very significant. Key words: Hypertension; Control; Community health services; Acute cardiovascular and cerebrovascular events