Control of Hypertension in Elderly Patients Receiving Primary Care in Spain

Effectiveness of Dader Method for Pharmaceutical Care on Control of Blood Pressure and Total Cholesterol in Outpatients with Cardiovascular Disease or Cardiovascular Risk: EMDADER-CV Randomized Controlled Trial

“…Based on the studies by Olson et al, 6 Banegas et al, 7 and Rodríguez-Roca et al, 8 we assumed that in the control group only 30% of patients would achieve the desired values of BP and TC and that in the intervention group this percentage would be 40%. With that difference in mind, a significance level of 0.05 (2-tailed) and a power of 80%, we estimated a required sample size of 752 patients (376 in each group).…”

Blood pressure control and physicians’ therapeutic behavior in a very elderly Spanish hypertensive population

“…Concomitant cardiovascular risk factors such as organ damage and vascular disease are common in this overall study population and in other studies conducted under conditions common to daily clinical practice. 19,21 In our study, 35.6% of the patients who were 80 years or older achieved BP goals vs. 41.4% of the overall study population. 15 Similarly, in two studies conducted in the United States and Europe, 22,23 BP control declined with advancing age.…”

“…[16][17][18] Taking into account that some epidemiological studies have suggested that BP is inversely related to the risk of death in patients 80 years or older, there is very scarce information about the best practices in the elderly population. 4,19,20 However, recent clinical trials such as HYVET 12 provide consistent evidence that antihypertensive treatment in persons 80 years of age or older is beneficial. In this context, surveys such as PRESCAP 2006 are important because they depict clinical practice and provide an accurate picture of the hypertensive population 80 years of age or older who are managed in primary care.…”

“…This could be explained by the fact that systolic BP declines after 85 years and because it is more likely that patients with poorer BP control would have died from this or other causes. 14,19 In multivariate analysis, diabetes (OR 2.8) and not having taken the medication on the day of the visit (OR 1.7) were predictors of no BP control. Although significant in other studies, predictors from other surveys such as gender or body mass index were not significant in our study.…”

“…Although significant in other studies, predictors from other surveys such as gender or body mass index were not significant in our study. 19,26 This could be related to the fact that gender differences and muscle mass decrease with age. 29 About two-third of the study population was taking two or more drugs.…”