DO WE INTERVENE SUFFICIENTLY IN PATIENTS WHOM WE FAIL TO CONTROL? TAPAS STUDY: PP.33.341

Aims: Assess the evolution of Blood Pressure (BP) and the number of prescribed antihypertensive drugs in poorly controlled patients that after one year of intervention persist with poor control, and compare the evolution of BP levels and the number of prescribed drugs with the rest of hypertensive patients. Methods: Retrospective study in Primary Care setting throughout the Spanish territory, including 1678 hypertensive patients classified in 4 cohorts predefined before inclusion: cohort 1: BP not controlled in first and last visit: cohort 2: BP not controlled one year ago and good control in last visit; cohort 3: BP controlled one year ago and lost control in the last visit; cohort 4: BP controlled in both visits. Variables analyzed: demographic, clinical (Systolic BP and Diastolic BP at baseline and at the end and its change) and therapeutic (mean number of antihypertensive treatments prescribed at baseline and at the final visit and its change). Results: Mean age was 64 years, with 53% males. In the following table are described the evolution of the SBP and DBP, and their treatment before and after one year of follow up within each cohortConclusion: Despite not achieving BP control, patients who were poorly controlled initially decreased their BP (SBP: 8.9 and DBP 2.4 mmHg) after one year follow up suggesting that an active intervention has occurred, but insufficiently. Reinforcing this idea is the fact of an increase, though small, in the number of antihypertensive drugs from baseline to the final visit (mean at baseline 1.6, mean at final visit 1.8).