Management of hypertension in the oldest old: a study in primary care in New Zealand

Hugh Senior, Craig S. Anderson, Mei-hua Chen, Ron Haydon, Dinah Walker, Dean Fourie, Steven Lillis and John Gommans (2006) Management of hypertension in the oldest old: a study in primary care in New Zealand. Age and Ageing, 35 2: 178-182. doi:10.1093/ageing/afj052


Author Hugh Senior
Craig S. Anderson
Mei-hua Chen
Ron Haydon
Dinah Walker
Dean Fourie
Steven Lillis
John Gommans
Title Management of hypertension in the oldest old: a study in primary care in New Zealand
Journal name Age and Ageing   Check publisher's open access policy
ISSN 0002-0729
Publication date 2006-01-23
Year available 2006
Sub-type Article (original research)
DOI 10.1093/ageing/afj052
Volume 35
Issue 2
Start page 178
End page 182
Total pages 5
Place of publication Oxford
Publisher Oxford University Press
Language eng
Subject 111702 Aged Health Care
Abstract Background: the benefits of blood pressure (BP) lowering are well established except in the oldest old, and suboptimal control of hypertension has been found in many different populations. Objective: to assess the frequency of hypertension and its adequacy of management in the oldest old in primary care. Design: a cross-sectional study. Setting: sixty-seven general practitioners (GPs) in three urban centres in New Zealand. Methods: we conducted structured reviews of medical records for all ambulatory people aged 80 years who were registered with a participating GP. Hypertensive status and BP control were classified according to standard criteria. Logistic regression analyses were used to identify independent factors for BP control. Results: medical records of 3,068 people (mean age 85 years, 64% female) revealed 56% to be hypertensive, of whom 94% were on treatment and 58% had controlled BP levels. Major co-morbid conditions were common among hypertensive people, and half of them had associated target organ damage. Histories of stroke, heart disease and hypercholesterolaemia were independent factors for good BP control. Conclusion: a large proportion of the oldest old were currently receiving anti-hypertensive therapy, and most had adequately controlled BP. Previous vascular disease was the most important factor for both BP treatment and control. These findings indicate a high level of uptake of cardiovascular guidelines for older people.
Keyword aged 80 and over
survey
blood pressure
hypertension
primary care
elderly
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
Discipline of General Practice Publications
 
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Created: Thu, 08 Apr 2010, 16:10:51 EST by Dr Hugh Senior on behalf of School of Medicine