Isabel Nieto Alvarez, Janika Madl, Linda Becker, Oliver Amft
Patients' Experience to MRI Examinations-A Systematic Qualitative Review With Meta-Synthesis
Journal of magnetic resonance imaging : JMRI
clinical events suggestive nutrition care found electronic health records ehrs rarely explored associations hypertension outcomes longitudinal analysis using structured ehr data primary care visits health system us december 2017december 2020 adult patients hypertension n 4237 tested associations last visit blood pressure bp control 140 systolic bp 90 diastolic bp 1 nutrition care clinical event operationalized overweight obesity bmi 25 30 respectively diagnoses preventive care visits provision patient education materials pem descriptive statistics longitudinal targeted maximum likelihood estimation ltmle models conducted explore average treatment effects ate timing dose response clinical events blood pressure control overall race median age 62 years 29 male 52 black 25 rural areas 50 controlled bp baseline annual documentation overweightobesity diagnoses ranged 3078 preventive care visits ranged 62157 pem dietary hypertension content distributed 85288 patients ltmle models stratified race showed differences timing dose type nutrition care black patients nutrition care year 3 compared none lower odds bp control ate 023 95 ci 038008 p 0003 preventive visits last 2 years high higher odds bp control ate 031 95 ci 007054 p 001 early late pems lower odds bp control ate 008 95 ci 015001 p 003 ate 023 95 ci 041005 p 001 respectively study clinical events suggestive nutrition care significantly associated bp control infrequent effects differ type timing patient race preventive visits appear effect additional research include examining clinical notes evidence nutrition care among different populations may uncover areas improving nutrition care patients chronic disease