PMID: 11322677Apr 27, 2001Paper

Management of older patients with hypertension in primary care: improvement on the rule of halves

Age and Ageing
S DugganG A Ford

Abstract

the benefits of treatment of hypertension in older people are well-established but implementation of this knowledge may be sub-optimal. We have determined recent primary care management of older people with hypertension. we examined health records (n = 6986) of a 1 in 7 sample of patients aged 65-80 years from a random sample of practices (n = 51) in the former Northern Region of the UK, stratified by health authority, for the previous 6 years. We recorded documented risk factors, diagnosis of hypertension, three most recent blood pressure readings, current drug therapy and previous blood pressure lowering therapy, and presence of coexistent pathology. blood pressure was defined as hypertensive (> or = 160/> or = 90 mmHg; one or both values above these limits), normotensive or undetermined using a validated algorithm. In 30% of patients, blood pressure status was undetermined. Thirty-five percent of subjects were found to be hypertensive. Of these, 70% were receiving antihypertensive treatment but only 30% of treated patients had controlled (< 150 and 90 mmHg) and 13% well controlled (< 140 and 85 mmHg) blood pressure. In all, 14% of older hypertensive patients were detected, treated and had their hypertension controlled. There...Continue Reading

Citations

Oct 8, 2013·Age and Ageing·Kate Mary HillAllan O House
Jun 26, 2012·Perspectives in Public Health·Kenneth Howse
Jun 19, 2015·Journal of the Royal Society of Medicine·Michael D Rawlins
May 21, 2003·British Journal of Clinical Pharmacology·Michael D Rawlins

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