ArticleJournal of general internal medicine2009
Hypertension guideline adherence among nursing home patients.
Article in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed, 17 citations in OpenAlex.
- Application of hypertension clinical guidelines among family medicine doctors in primary health care centers in Riyadh City, Saudi Arabia.Journal of family medicine and primary care · 2025Article
- Complex Patterns of Antihypertensive Treatment Changes in Long-Term Care Residents.Journal of the American Medical Directors Association · 2024Article
- Trends in blood pressure diagnosis, treatment, and control among VA nursing home residents, 2007-2018.Journal of the American Geriatrics Society · 2022Article
- Hypertension Management in Nursing Homes: Review of Evidence and Considerations for Care.Current hypertension reports · 2020Review
- Doctors' Knowledge of Hypertension Guidelines Recommendations Reflected in Their Practice.International journal of hypertension · 2018Article
- Economic benefits of implementing patient-centered medical home among patients with hypertension.ClinicoEconomics and outcomes research : CEOR · 2018Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAdherence to hypertension guidelines in the outpatient setting is low.
objectiveTo evaluate adherence to JNC VII guidelines in nursing home patients.
designData were obtained from the 2004 National Nursing Home Survey (NNHS), a nationally representative sample of US nursing homes. Patients with hypertension were identified using ICD-9 codes. Adherence to JNC VII guidelines was defined as the use of a thiazide diuretic in patients without a compelling indication for a different class of antihypertensive medication, such as diabetes, chronic kidney disease, coronary artery disease, congestive heart failure, or a history of stroke.
participantsThere were 13,507 patients in the 2004 NNHS survey, of whom 7,129 had hypertension. MAIN
resultsOf these 7,129 hypertensive patients, only 12.6% were on a thiazide. Out of the 7,129 hypertensive patients, 3,113 did not have diabetes, chronic kidney disease, coronary artery disease, congestive heart failure, or a history of stroke. Of these 3,113 patients, only 13.9% were on a thiazide. After excluding patients with a potential contraindication to a diuretic, such as hospice care or incontinence, only 18% were prescribed a thiazide. Of the 3,113 patients, 1,148 were on a single class of antihypertensive and more were prescribed a beta blocker, ACE inhibitor, calcium channel blocker, loop diuretic, and ARB than a thiazide diuretic.
conclusionsAdherence to hypertension guidelines among nursing home patients is low. The appropriate use of thiazide diuretics could reduce costs and improve blood pressure control and patient outcomes.
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Registered trials
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