Hypertension is the leading preventable risk factor of cardiovascular disease globally and in China. Unparalleled to remarkable increase of hypertension burden in China, blood pressure(BP) control is inadequate. A political public health project, "Hypertension Prevention and Control Initiative in China(Chronic Disease Demonstration District Construction)", was initiated in October 2019 for explore a feasible and reproducible archetype for hypertension management and to improve the registration, management, treatment and control rates of hypertension in China. The project is designed to consecutively implement health service strategies in 40 pilot counties covering 31 provinces and around 200,000 hypertension patients in mainland China, via the National Medical Alliance for Hypertension(NMAH). The Hypertension Registry study aims to registry, follow up and observe the clinical features, treatment, blood pressure control and outcomes of all hypertension patients managed in the "Hypertension Prevention and Control Initiative in China" project.
Objective: The study aims to investigate the clinical features, treatment, blood pressure control and outcomes of hypertension patients managed in the "Hypertension Prevention and Control Initiative in China" project. Study Type: A national, multicenter, observational, prospective cohort study. Study Design: The cardinal contents of this registry study are as follows: Introduce the Digital Information System and train in completing case report forms. Collect sociodemographic information, lifestyle behaviors, self-reported personal medical history, BP, anthropometric measurements, medication at registration, laboratory investigations of hypertension patients managed in the "Hypertension Prevention and Control Initiative in China" project. Build a baseline database of hypertension patients. Gather the follow up information including general, clinical, therapeutic, prognostic data of all recruits at 3-month intervals over 2 years and build up the follow-up database. Data management, quality control and statistic analysis: Digital Information Platform for data capture, document and cloud computing has been built and the investigators will manage and analyze data in align with key indicators. The investigators have invited professional statistic analysts to assist analyzing data and a third party to supervise data quality. Ethics: The Ethics Committee of Fuwai Hospital approved this study. Informed consents before patient enrollment are required.
Study Type
OBSERVATIONAL
Enrollment
200,000
The systematic hypertension management health services from the "Hypertension prevention and control initiative in China" project. Main services are as follows: 1. Healthcare provider training and patient education. 2. Standardized guideline-based hypertension diagnosis, treatment and management recommendation. 3. Patient-centered, pan-cycle continuous hypertension management via the organizing framework of NMAH and sharing digital platform. 4. Periodical Patient follow-up via blood pressure monitor-sharing system and in collaboration with other basic local public health programs. 5. Outcome and performance evaluation quarterly. 6. Incentives for healthcare organizations and primary healthcare providers, and subsidies to patients. 7. Certification for "Honorary Hypertension Centers" at county levels and establishment for hypertension clinics at primary care centers.
The First Affliated Hospital of Anhui Medical University
Hefei, Anhui, China
NOT_YET_RECRUITINGChinese Academy of Medical Sciences,Fuwai Hospital
Beijing, Beijing Municipality, China
RECRUITINGBeijing Shunyi District Hospital
Beijing, Beijing Municipality, China
RECRUITINGFirst affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China
RECRUITINGThe Third Xiangya Hospital of Central South University
Changsha, Hunan, China
NOT_YET_RECRUITINGThe second affiliated hospital of Baotou medical college
Baotou, Inner Mongolia, China
NOT_YET_RECRUITINGThe Second Affilated Hospital Of Nanchang University
Nanchang, Jiangxi, China
NOT_YET_RECRUITINGYinchuan First People's Hospital
Yinchuan, Ningxia, China
NOT_YET_RECRUITINGFirst Affiliated Hospital, Xian Jiaotong University
Xi’an, Shanxi, China
NOT_YET_RECRUITINGTeda International Cardiovascular Hospital
Tianjin, Tianjin Municipality, China
NOT_YET_RECRUITING...and 1 more locations
Change for Blood Pressure Control Rate
Change for blood pressure(BP) control rate (number of patients under BP control divided by number of patients registered) from baseline to follow-ups. BP control is defined as follows: 1. Office BP Control: Office BP controlled to target (Systolic BP\<140mmHg and Diastolic BP\<90mmHg) 2. Home BP Control: Home BP controlled to target (Systolic BP\<135mmHg and Diastolic BP\<85 mmHg)
Time frame: at 3-month intervals over 24 months
Change for Systolic Blood Pressure(SBP)
Change for SBP from baseline to follow-ups
Time frame: at 3-month intervals over 24 months
Composite Outcome of Cardiovascular Events at 1-year follow-up
A composite of first occurrence of myocardial infarction, stroke (ischemic or hemorrhagic), hospitalization for unstable angina or acute decompensated heart failure, coronary revascularization, atrial fibrillation, or death from cardiovascular causes
Time frame: 1 year
Composite Outcome of Cardiovascular Events at 2-year follow-up
A composite of first occurrence of myocardial infarction, stroke (ischemic or hemorrhagic), hospitalization for unstable angina or acute decompensated heart failure, coronary revascularization, atrial fibrillation, or death from cardiovascular causes
Time frame: 2 years
Change for Hypertension Treatment Rate
Change for Hypertension Treatment Rate from baseline to follow-ups. Hypertension treatment rate is defined as the number of patients under current antihypertensive medication therapy divided by the number of patients registered.
Time frame: at 3-month intervals over 24 months
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