Table 2.
CP | Presumptive RHTN, n | Subset of charts reviewed, n | Confirmed RHTN, n (%) | PPV (95% CI) |
---|---|---|---|---|
Algorithm 1* | 27,978 | 25 | 21 (84.0) | 84.0 (63.9–95.5) |
Algorithm 2** | 25,933 | 37 | 33 (89.2) | 89.2 (74.6–97.0) |
Final Algorithm*** | 24,926 | 113 | 112 (99.1) | 99.1 (95.2–99.9) |
RHTN: Resistant Hypertension, PPV: Positive predictive value, CI: confidence interval
Algorithm 1: RHTN algorithm based on the 2008 AHA statement on resistant hypertension and the eMERGE RHTN algorithm (RHTN)
Algorithm 2: Algorithm 1 + CPT codes algorithm added CPT codes to identify patients with routine outpatient encounters, and only use blood pressure readings from routine outpatient encounters (RHTN + CPT codes)
Final Algorithm: Algorithm 2 + drug counting algorithm added additional consideration for patients switching between single pill and combination pill preparations of the same antihypertensive drug class (RHTN + CPT codes + drug counting)