Success in the Achieving CARdiovascular Excellence in Colorado (A CARE) Home Blood Pressure Monitoring Program: A Report from the Shared Networks of Colorado Ambulatory Practices and Partners (SNOCAP)

Article Figures & Data

Table 1. Demographic Characteristics of Achieving CARdiovascular Excellence in Colorado (A CARE) Participants

	All Participants (n = 3578)	Participants With Diabetes (n = 853)
Age (years)	Mean 60.3 years	Mean 63.8 years
18–34	136 (3.8)	7 (0.8)
35–49	618 (17.3)	104 (12.2)
50–64	1501 (42.0)	358 (41.9)
≥65	1319 (36.9)	385 (45.1)
Missing	4 (0.1)
Female sex, n (%)	1996 (55.8)	465 (54.5)
Race, n (%)
White	1877 (52.5)	371 (43.4)
African American	133 (3.7)	19 (2.2)
Asian/Pacific Islander/Native American/Alaska Native	80 (2.3)	26 (3.0)
Other or unspecified	1487 (41.56)	438 (51.3)
Hispanic ethnicity	1534 (42.9)	446 (52.2)
Diabetes, n (%)	853 (23.8)	853 (100)

Table 2. Home Blood Pressure Monitoring Results (Participants Submitting ≥2 Reports)

	All Participants (n = 1289)	Participants With Diabetes (n = 273)
Reports submitted, mean (range)	13.5 (2–199)	12.0 (2–70)
Readings per report, mean (range)	19.3 (0–60)	20.3 (0–60)
Time between reports (mean days)	56.9	59.7
Months in the program (mean)	14.3	14.6
Blood pressure (mmHg)
Average initial home SBP	137.6	139.1
Average initial home DBP	83.0	80.7
Average final home SBP	131.2	132.4
Average final home SBP	78.7	76.0
Difference in SBP/DBP between initial and final HBPM report	−6.5/−4.4^†	−6.7/−4.7^†
Percentage of BP < target^*
Initial	34.5	24.6
Final	53.3	40.0
Change in percentage at target from initial to final HBPM report	18.8^{^†}	15.4^{^†}

↵* Target = home blood pressure (BP) <130/80 mmHg with diabetes; home BP <135/85 for all other patients.
↵† P < .001.
DBP, diastolic blood pressure; HBPM, home blood pressure monitoring; SBP, systolic blood pressure.

Table 3. Demographic Characteristics of Patients in the Chart Audit (n = 732)

	A CARE Participants (n = 378)	Nonparticipants (n = 352)	A CARE Participants With Diabetes (n = 113)	Nonparticipants With Diabetes (n = 97)
Mean age, years	60.0	58.7	61.5	61.1
Female sex, n (%)	235 (62.2)	204 (58.0)	70 (62.0)	56 (57.7)
Race, n (%)
White	157 (41.5)	127 (36.1)	31 (27.4)	31 (32.0)
Black	7 (1.9)	11 (3.1)	2 (2.1)	2 (1.8)
Asian/Pacific Islander	4 (1.06)	1 (0.3)	0 (0)	0 (0)
Other	3 (0.8)	0 (0)	0 (0)	0 (0)
Unknown^*	207 (54.8)	213 (60.5)	80 (70.8)	64 (66.0)
Hispanic ethnicity, n (%)^{^†}	171 (45.2)	120 (34.1)	69 (61.1)	43 (44.3)
Diabetes, n ( %)	113 (29.9)	97 (27.6)	—	—

↵* Race/ethnicity data were not found in the medical record.
↵† Statistically significant difference (P < .05) between patients in A CARE and non participants.
A CARE, Achieving Cardiovascular Excellence in Colorado.

Table 4. Change in Mean Office Systolic and Diastolic Blood Pressure in Chart Audit Patients

	A CARE Participants (n = 378)	Nonparticipants (n = 352)	A CARE Participants With Diabetes (n = 113)	Nonparticipants With Diabetes (n = 97)
SBP
Initial	141.5	133.3	142.3	131.6
Final	135.1	132.5	137.0	133.7
Mean difference^*	−6.3 (P < .001)	−0.9 (P = .54)	−5.9 (P = .0175)	+2.6 (P = .335)
DBP
Initial	84.4	80.9	83.0	79.5
Final	80.4	79.5	79.3	77.4
Mean difference^{^†}	−4.1 (P < .001)	−1.42 (P = .128)	−3.60 (P = 0.0082)	−2.1 (P = .1245)

↵* Intervention vs comparison group: P = .0003 for total, P = .0137 for patients with diabetes.
↵† Intervention vs comparison group: P = .0101 for total, P = .4050 for patients with diabetes.
A CARE, Achieving Cardiovascular Excellence in Colorado.

Table 5. Percentage of Patients at Target Blood Pressure at First versus Last Office Visit

↵* Achieving Cardiovascular Excellence in Colorado (A CARE), P < .0001; comparison, P = .0.0072.
↵† ACARE, P = .0381; comparison, P = .0917.
Intervention vs comparison group on change in at-target blood pressure (BP): all participants, P = .0782; patients with diabetes, P = .9671.