Management of hypertension in elderly long-term care residents.
作者： Ross T. Tsuyuki , Donna L. McLean , Finlay A. McAlister
DOI: 10.1016/S0828-282X(08)70698-6
关键词:
摘要: Objective To determine the adequacy of hypertension management in institutionalized elderly patients. Methods Retrospective chart review all patients with a physician-documented diagnosis at 15 long-term care facilities Edmonton, Alberta. Results Of 2063 residents, 733 (36%) were diagnosed (mean age 84 years), and 566 (77%) this cohort receiving antihypertensive medication. The most frequently prescribed drugs angiotensin-converting enzyme inhibitors (341 [60%]). residents therapy, 274 (48%) on one medication, 203 two 89 (16%) received three or more agents. Blood pressure readings taken every 14 days average (interquartile range to 31 days). Overall, 467 (64%) these achieved target blood pressure. Conclusion Hypertension treatment control rates are better who than those reported studies reside community. Determining reasons for discrepancy will be important design strategies improve
onlinecjc.ca
elsevier.com参考文章(23)
Nathan D Wong, Gaurav Thakral, Stanley S Franklin, Gil J L’Italien, Milagros J Jacobs, Joanna L Whyte, Pablo Lapuerta, Prevention and Rehabilitation American Heart Journal. ,vol. 145, pp. 888- 895 ,(2003) , 10.1016/S0002-8703(02)94787-3
Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. The Lancet. ,vol. 360, pp. 1903- 1913 ,(2002) , 10.1016/S0140-6736(02)11911-8
Salem Alsuwaidan, Daniel C. Malone, Sarah J. Billups, Barry L. Carter, Characteristics of ambulatory care clinics and pharmacists in Veterans Affairs medical centers American Journal of Health-system Pharmacy. ,vol. 55, pp. 68- 72 ,(1998) , 10.1093/AJHP/55.1.68
Chester A. Bond, Sustained Improvement in Drug Documentation, Compliance, and Disease Control Archives of Internal Medicine. ,vol. 144, pp. 1159- 1162 ,(1984) , 10.1001/ARCHINTE.1984.00350180071011
Irfan A. Dhalla, Geoffrey M. Anderson, Muhammad M. Mamdani, Susan E. Bronskill, Kathy Sykora, Paula A. Rochon, Inappropriate Prescribing Before and After Nursing Home Admission Journal of the American Geriatrics Society. ,vol. 50, pp. 995- 1000 ,(2002) , 10.1046/J.1532-5415.2002.50252.X
FA McAlister, A Laupacis, KK Teo, PG Hamilton, TJ Montague, A survey of clinician attitudes and management practices in hypertension Journal of Human Hypertension. ,vol. 11, pp. 413- 419 ,(1997) , 10.1038/SJ.JHH.1000457
David J. Hyman, Valory N. Pavlik, Self-reported Hypertension Treatment Practices Among Primary Care Physicians Archives of Internal Medicine. ,vol. 160, pp. 2281- 2286 ,(2000) , 10.1001/ARCHINTE.160.15.2281
Francois Gueyffier, Christopher Bulpitt, Jean-Pierre Boissel, Eleanor Schron, Tord Ekbom, Robert Fagard, Edoardo Casiglia, Karla Kerlikowske, John Coope, None, Antihypertensive drugs in very old people: a subgroup meta-analysis of randomised controlled trials The Lancet. ,vol. 353, pp. 793- 796 ,(1999) , 10.1016/S0140-6736(98)08127-6
Roberta Monson, Role of the Clinical Pharmacist in Improving Drug Therapy Archives of Internal Medicine. ,vol. 141, pp. 1441- 1444 ,(1981) , 10.1001/ARCHINTE.1981.00340120049011
Dan R. Berlowitz, Arlene S. Ash, Elaine C. Hickey, Robert H. Friedman, Mark Glickman, Boris Kader, Mark A. Moskowitz, Inadequate Management of Blood Pressure in a Hypertensive Population The New England Journal of Medicine. ,vol. 339, pp. 1957- 1963 ,(1998) , 10.1056/NEJM199812313392701