TY  - BOOK
AU  - Fernandez, Stephen J
AU  - Kidwell, Chelsea S
AU  - Menon, Ravi S
AU  - Shara, Nawar M
TI  - Poor long-term blood pressure control after intracerebral hemorrhage
SN  - 0039-2499
KW  - *African Continental Ancestry Group/eh [Ethnology]
KW  - *Blood Pressure/ph [Physiology]
KW  - *Cerebral Hemorrhage/eh [Ethnology]
KW  - *Cerebral Hemorrhage/pp [Physiopathology]
KW  - *European Continental Ancestry Group/eh [Ethnology]
KW  - *Hypertension/eh [Ethnology]
KW  - *Hypertension/pc [Prevention & Control]
KW  - Antihypertensive Agents/tu [Therapeutic Use]
KW  - Cohort Studies
KW  - Environment
KW  - Female
KW  - Follow-Up Studies
KW  - Humans
KW  - Hypertension/pp [Physiopathology]
KW  - Linear Models
KW  - Longitudinal Studies
KW  - Male
KW  - Middle Aged
KW  - Multivariate Analysis
KW  - Predictive Value of Tests
KW  - Prospective Studies
KW  - Social Support
KW  - Time Factors
KW  - Treatment Outcome
KW  - MedStar Health Research Institute
KW  - MedStar Heart & Vascular Institute
KW  - MedStar Washington Hospital Center
KW  - Neurology
KW  - Comparative Study
KW  - Journal Article
KW  - Multicenter Study
KW  - Research Support, N.I.H., Extramural
N1  - Available online from MWHC library: 1970 - present, Available in print through MWHC library: 1999 - 2006
N2  - BACKGROUND AND PURPOSE: Hypertension is the most important risk factor associated with intracerebral hemorrhage. We explored racial differences in blood pressure (BP) control after intracerebral hemorrhage and assessed predictors of BP control at presentation, 30 days, and 1 year in a prospective cohort study; CONCLUSIONS: Long-term BP control is inadequate in patients after intracerebral hemorrhage, particularly in blacks. Further studies are needed to understand the role of social support and barriers to control to identify optimal approaches to improve BP in this high-risk population; METHODS: Subjects with spontaneous intracerebral hemorrhage were identified from the DiffErenCes in the Imaging of Primary Hemorrhage based on Ethnicity or Race (DECIPHER) Project. BP was compared by race at each time point. Multivariable linear regression was used to determine predictors of presenting mean arterial pressure, and longitudinal linear regression was used to assess predictors of mean arterial pressure at follow-up; RESULTS: A total of 162 patients were included (mean age, 59 years; 53% male; 77% black). Mean arterial pressure at presentation was 9.6 mm Hg higher in blacks than whites despite adjustment for confounders (P=0.065). Fewer than 20% of patients had normal BP (<120/80 mm Hg) at 30 days or 1 year. Although there was no difference at 30 days (P=0.331), blacks were more likely than whites to have Stage I/II hypertension at 1 year (P=0.036). Factors associated with lower mean arterial pressure at follow-up in multivariable analysis were being married at baseline (P=0.032) and living in a facility (versus personal residence) at the time of BP measurement (P=0.023)
ER  -