ArticleBMC geriatrics2009
Hypertension in the very old; prevalence, awareness, treatment and control: a cross-sectional population-based study in a Spanish municipality.
Article in BMC geriatrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Cohort Profile: A Descriptive Analysis of Patients Aged 75 Years and Older with Public Health Coverage in Madrid at Baseline, Including a 5-Year Preobservational Period (2015-2019).Journal of clinical medicine · 2026Article
- Hypertension and its Correlates in the Oldest Old Population Aged 80 Years and Above in Urban South India.Journal of gerontology & geriatric research · 2018Article
- Declining blood pressure and intensification of blood pressure management among people over 80 years: cohort study using electronic health records.Journal of hypertension · 2017Article
- BPcontrol. A Mobile App to Monitor Hypertensive Patients.Applied clinical informatics · 2016Article
- [Awareness, Treatment and Control of Hypertension in Population Aged 16 to 90 Years Old in the Valencia Region, Spain, 2010].Revista espanola de salud publica · 2016Article
- Influence of dyslipidemia in control of arterial hypertension among type-2 diabetics in the western region of the Republic of Macedonia.American journal of cardiovascular disease · 2014Article
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Authors and funding
9 authors.
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Abstract
backgroundInformation on hypertension in the very elderly is sparse. Until recently evidence of benefits from pharmacological treatment was inconclusive. We estimated the prevalence of hypertension in subjects aged 80 or more, the proportion of awareness, treatment and control. Explanatory variables associated with good control were also studied.
methodsCross sectional, population-based study, conducted in Martorell, an urban Spanish municipality, in 2005. By simple random sampling from the census, 323 subjects aged 80 or more were included. Patients were visited at home or in the geriatric institution and after giving informed consent, the study variables were collected. These included: supine and standing blood pressure and information about diagnosis and treatment of hypertension. The estimation and 95% confidence interval were obtained and a logistic regression model was used to study explanatory variables associated with blood pressure below 140/90 mm Hg.
resultsThe prevalence of hypertension was 72.8% (95%CI: 69.5-76.6%) and 93% of the patients were aware of this condition, of whom 96.3% (95%CI: 93.65-97.9%) had been prescribed pharmacological treatment and 30.7% (95%CI: 25.8 - 36.1%) had blood pressure below 140/90 mm Hg. Some of the patients (43%) had one antihypertensive drug and 39.5% had two in combination. Explanatory variables associated with blood pressure below 140/90 mm Hg included prescription of a diuretic, OR: 0.31 (95%CI: 0.14-0.66), and history of ischemic heart disease, OR: 0.21 (95%CI: 0.1-0.47).
conclusionThe prevalence of hypertension in population aged 80 or more was over 70%. Most patients were aware of this condition and they had antihypertensive medication prescribed. Approximately one third of treated patients had blood pressure below 140/90 mm Hg. Patients with heart disease and with diuretics had more frequently blood pressure below this value.
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