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Hypertension in nursing home patients

J S Trilling1, J Froom, I H Gomolin

  • 1State University of New York, Stony Brook, 11794, USA.

Journal of Human Hypertension
|March 21, 1998
PubMed
Summary

Hypertension is common in nursing home residents, with many taking multiple medications and having numerous comorbidities. Blood pressure control is often achieved, but more research is needed for this complex population.

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Area of Science:

  • Geriatric Medicine
  • Cardiovascular Health
  • Pharmacology

Background:

  • Hypertension prevalence and characteristics in nursing home patients are understudied.
  • Understanding these factors is crucial for optimizing care in this vulnerable population.

Purpose of the Study:

  • To assess the prevalence, demographics, comorbidity, and drug therapy of hypertension in nursing home residents.
  • To compare hypertensive patients with normotensive individuals within the same facilities.

Main Methods:

  • Retrospective review of medical charts for 804 patients across three nursing home facilities.
  • Analysis of demographic data, diagnoses, and medication prescriptions.

Main Results:

  • 44.2% of patients had hypertension, with calcium channel blockers, diuretics, and ACE inhibitors being the most common treatments.

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  • Hypertensive patients had significantly more comorbid conditions (average 5.02 vs 3.23) and took more cardiac, hypoglycemic, and analgesic drugs.
  • Blood pressure control (<140/90 mm Hg) was achieved in 88.8% and was more frequent in males.

    • Conclusions:

    • Hypertension in nursing home patients is complex, often associated with multiple comorbidities and polypharmacy.
    • Current evidence on anti-hypertensive therapy benefits in the elderly may not apply to very elderly or those with significant comorbidities, necessitating further research.