Evidence map›Paper›PMID 20945114›Full record

Trial reportJournal of general internal medicine2011

Improving blood pressure control: results of home-based post-acute care interventions.

Liliana E Pezzin, Penny H Feldman, Jennifer M Mongoven, Margaret V McDonald, Linda M Gerber, Timothy R Peng

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 pooled it
0.6field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 8 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Impact of patient care teams on blood pressure control in patients with hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Liliana E PezzinDepartment of Medicine and Center for Patient Care and Outcomes Research (PCOR), Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA. lpezzin@mcw.edu
Penny H Feldman
Jennifer M Mongoven
Margaret V McDonald
Linda M Gerber
Timothy R Peng
Visiting Nurse Service of New York · USCornell University · USMedical College of Wisconsin · US

Funding

Home-Based BP Interventions for African AmericansR01HL078585 · NHLBI · VISITING NURSE SERVICE OF NEW YORK · PI FELDMAN, PENNY H. · 2004 to 2011
$3.8M
NHLBI NIH HHS R01 HL078585
6 · The paper itself

Abstract

backgroundBlood pressure (BP) control remains elusive for many Americans. Although home health nurses are uniquely positioned to help vulnerable individuals achieve BP control, hypertension (HTN) management has not been a high priority in post-acute care.

objectiveTo examine the effects of two home-based interventions designed to improve BP outcomes among high-risk African-American patients.

designCluster randomized controlled trial.

participantsA total of 845 newly admitted patients with uncontrolled HTN (JNC7 stages 1 or 2).

interventionsThe "basic" intervention delivered key HTN information to clinicians and patients, and a home BP monitor to patients, while the patients received usual post-acute care. The "augmented" intervention provided more intensive and extensive HTN information, monitoring and feedback for 3 months beyond the index home care admission. MEASURES: Primary: BP control. Secondary: reductions in mmHG SBP and DBP, improvements in proportions improving JNC7 stage or achieving clinically meaningful reductions in SBP and DBP.

methodsMultivariate regression models. KEY

resultsThe basic intervention produced no significant BP improvements; the augmented intervention significantly improved stage 2 patients' outcomes. Among stage 2 patients, the augmented intervention increased BP control by 8.7 percentage points relative to usual care (8.9% vs. 17.6%; p=0.01), yielded an 8.3 mmHG relative reduction in SBP (p=0.01), and increased the proportion achieving at least a 20 mmHG reduction in SBP by 16.4 percentage points (p=0.01).

conclusionAmong stage 2 patients, a nurse-led intervention providing additional HTN medication review and patient self-management support during the 3-month post-acute care period yielded significant improvements in 3-month BP control, plus improvements in secondary BP outcomes.

Indexed as

Black or African AmericanAdultAgedAged, 80 and overBlood PressureBlood Pressure Monitoring, AmbulatoryContinuity of Patient CareFemaleHome Care ServicesHumansHypertensionMaleMiddle AgedTreatment Outcome

Identifiers

PMID20945114
PMCPMC3043175
OpenAlexW2147153021

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.