Related Experiment Video

Updated: Jan 16, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
07:30

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions

Published on: April 23, 2021

3.4K

The association of mild cognitive impairment with outpatient visits for hypertension

Mellanie V Springer1,2, Yi Chen3,4, Slim Benloucif5

  • 1Department of Neurology and Stroke Program, University of Michigan, Ann Arbor, Michigan, USA.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|September 27, 2025
PubMed

Insights

Older adults with mild cognitive impairment (MCI) and hypertension attend fewer outpatient visits for hypertension management compared to those without cognitive impairment. This highlights a need for interventions to improve care engagement.

Area of Science:

  • Gerontology
  • Neurology
  • Public Health

Background:

  • Hypertension management is crucial for preventing mild cognitive impairment (MCI) progression to dementia.
  • The engagement of older adults with hypertension and MCI in outpatient care is not well understood.

Purpose of the Study:

  • To investigate the association between cognitive status (MCI vs. no cognitive impairment) and the frequency of outpatient hypertension management visits among older adults.

Main Methods:

  • Analysis of data from older adults with hypertension in Rush Alzheimer's Disease Center (RADC) cohorts (2011-2019).
  • Utilized repeated measures negative binomial regression to assess the relationship between cognitive status and annual outpatient clinic visits for hypertension evaluation and management (E&M).

Main Results:

  • Older adults with MCI (n=1013 person-years) had 8% fewer annual outpatient visits for hypertension compared to those with no cognitive impairment (NCI) (n=4373 person-years).
  • The relative incidence ratio (RIR) for outpatient visits was 0.92 (p < 0.01) for individuals with MCI.

Conclusions:

  • Older adults with MCI may be less likely to engage in recommended outpatient hypertension management.
  • Interventions are needed to increase engagement in outpatient care for hypertension among individuals with MCI.
Abstract

Keywords:
ambulatory carehypertensionmild cognitive impairmentoutpatient care utilization

More Related Videos

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment12:18

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

Published on: January 11, 2020

7.9K
The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease06:23

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease

Published on: October 13, 2016

33.7K

Related Concept Videos

Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
471
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
359
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
743
Alterations in Blood Pressure01:30

Alterations in Blood Pressure

Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
2.1K
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
795
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
624