Clinical Decision Support System, Antihypertensive Treatment Intensification, and Blood Pressure Control: A Post Hoc Secondary Analysis of a Cluster Randomized Trial - PubMed
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- #Primary Care
- #Hypertension Treatment
- #Clinical Decision Support System
- The study evaluated the impact of a Clinical Decision Support System (CDSS) on antihypertensive treatment intensification and blood pressure (BP) control in primary care practices in China.
- Results showed that treatment intensification rates were significantly higher in the CDSS group (47.3%) compared to usual care (11.6%), with an adjusted odds ratio of 6.87.
- Increased treatment intensification, measured by a higher treatment intensification score in the CDSS group, was associated with a reduction in systolic BP (-3.8 mm Hg per 0.22-point score increase).
- Despite improved treatment intensification, BP control rates were similar between the CDSS and control groups, indicating no overall improvement in BP control.
- The findings suggest that while CDSS can enhance treatment intensification, stronger implementation strategies may be needed to translate this into better BP outcomes.