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Screening for hypertension in an elderly population: report from the Dunedin Program

W E Hale, R G Marks, R B Stewart

    Journal of the American Geriatrics Society
    |March 1, 1981
    PubMed
    Summary

    Screening for hypertension in older adults significantly improves treatment rates. This geriatric screening program demonstrated a rise in controlled hypertension among elderly participants over three years.

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    Area of Science:

    • Geriatric Medicine
    • Cardiovascular Health
    • Public Health Interventions

    Background:

    • Hypertension detection and management programs are increasingly important.
    • Geriatric populations present unique challenges for healthcare screening.
    • Untreated hypertension poses significant risks for elderly individuals.

    Purpose of the Study:

    • To evaluate the impact of hypertension screening within a geriatric program.
    • To assess the effectiveness of follow-up care for hypertension in the elderly.
    • To determine the prevalence of treated and untreated hypertension in this demographic.

    Main Methods:

    • A three-year prospective study involving a large ambulatory elderly population in Dunedin, Florida.
    • Initial screening of 4,247 participants for hypertension.

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  • Follow-up assessments at one year to track treatment and control status.

    • Main Results:

    • 39% of screened participants had hypertension; 15.6% of these were untreated.
    • The proportion of participants with treated, controlled hypertension increased from 14.7% to 21% by the first year follow-up.
    • Significant improvement in hypertension management was observed within the study period.

    Conclusions:

    • Hypertension screening in geriatric populations is a valuable public health strategy.
    • Systematic screening and follow-up can lead to better hypertension control in older adults.
    • These findings support the integration of hypertension screening into routine geriatric care.