Prevalence of cardiovascular disorders among the elderly in primary care in Estonia

Saks, Kai; Kolk, Helgi; Soots, Annely; Takker, Urmas; Vask, Monika

doi:10.1080/02813430310001716

Cited by 6 publications

(4 citation statements)

References 17 publications

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“…For comparison, the median prevalence of HF across the 42 member countries of the European Society of Cardiology (ESC) is 1.7% 4 . For Estonia, prevalence data were available from a cross‐sectional study of 811 patients aged over 65 years with undiagnosed CVDs (41.4%) 8 . The incidence of HF ranged from 3.1 per 1000 person‐years in Poland and Serbia to 6.0 per 1000 person‐years in Estonia (Supporting Information, Table ) 4,9,10 .…”

Section: Resultsmentioning

confidence: 99%

“… 4 For Estonia, prevalence data were available from a cross‐sectional study of 811 patients aged over 65 years with undiagnosed CVDs (41.4%). 8 The incidence of HF ranged from 3.1 per 1000 person‐years in Poland and Serbia to 6.0 per 1000 person‐years in Estonia (Supporting Information, Table S2 ). 4 , 9 , 10 The median incidence of HF across the 42 member countries of the ESC is 3.2 per 1000 person‐years.…”

Section: Resultsmentioning

confidence: 99%

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Heart failure care in the Central and Eastern Europe and Baltic region: status, barriers, and routes to improvement

Chioncel,

Čelutkienė,

Bělohlávek

et al. 2024

ESC Heart Failure

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Despite improvements over recent years, morbidity and mortality associated with heart failure (HF) are higher in countries in the Central and Eastern Europe and Baltic region than in Western Europe. With the goal of improving the standard of HF care and patient outcomes in the Central and Eastern Europe and Baltic region, this review aimed to identify the main barriers to optimal HF care and potential areas for improvement. This information was used to suggest methods to improve HF management and decrease the burden of HF in the region that can be implemented at the national and regional levels. We performed a literature search to collect information about HF epidemiology in 11 countries in the region (Bulgaria, Croatia, Czechia, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Serbia, and Slovenia). The prevalence of HF in the region was 1.6–4.7%, and incidence was 3.1–6.0 per 1000 person‐years. Owing to the scarcity of published data on HF management in these countries, we also collected insights on local HF care and management practices via two surveys of 11 HF experts representing the 11 countries. Based on the combined results of the literature review and surveys, we created national HF care and management profiles for each country and developed a common patient pathway for HF for the region. We identified five main barriers to optimal HF care: (i) lack of epidemiological data, (ii) low awareness of HF, (iii) lack of national HF strategies, (iv) infrastructure and system gaps, and (v) poor access to novel HF treatments. To overcome these barriers, we propose the following routes to improvement: (i) establish regional and national prospective HF registries for the systematic collection of epidemiological data; (ii) establish education campaigns for the public, patients, caregivers, and healthcare professionals; (iii) establish formal HF strategies to set clear and measurable policy goals and support budget planning; (iv) improve access to quality‐of‐care centres, multidisciplinary care teams, diagnostic tests, and telemedicine/telemonitoring; and (v) establish national treatment monitoring programmes to develop policies that ensure that adequate proportions of healthcare budgets are reserved for novel therapies. These routes to improvement represent a first step towards improving outcomes in patients with HF in the Central and Eastern Europe and Baltic region by decreasing disparities in HF care within the region and between the region and Western Europe.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Heart failure care in the Central and Eastern Europe and Baltic region: status, barriers, and routes to improvement

Chioncel,

Čelutkienė,

Bělohlávek

et al. 2024

ESC Heart Failure

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“…For instance, a study in Malaysia showed that the prevalence of hypotension was 29.3% among community-dwelling older adults [ 31 ]. Saks et al reported that 11.1% of Estonians aged 65 years or older had hypotension [ 42 ]. The large variation in prevalence may also be due to different definitions of hypotension.…”

Section: Discussionmentioning

confidence: 99%

Hypotension and cognitive impairment among the elderly: Evidence from the CLHLS

Zhu,

Luo,

Tian

et al. 2023

PLoS ONE

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Background While high blood pressure has been linked to cognitive impairment, the relationship between low blood pressure, especially hypotension, and cognitive impairment has not been well studied. Therefore, this study aimed to assess the prevalence of hypotension and cognitive impairment in the seniors of China, and the association between hypotension and cognitive function impairment. Methods The data was derived from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Systolic blood pressures (SBP) and diastolic blood pressures (DBP) were measured by objective examination. The Chinese version of the Mini-Mental State Examination (CMMSE) was used to evaluate the cognitive impairment of the elderly. Generalized linear models were conducted to evaluate the association of hypotension with cognitive impairment. Results The prevalence of hypotension and cognitive impairment in the Chinese elderly were 0.76% and 22.06%, respectively. Participants with hypotension, lower SBP, and lower DBP, had odds ratios of 1.62, 1.38, and 1.48 for cognitive impairment, respectively. Besides, the CMMSE scores decreased by 2.08, 0.86, and 1.08 in the elderly with hypotension, lower SBP, and DBP, compared with those with non-hypotension, higher SBP, and DBP, respectively. Subgroup analyses showed that the association of cognitive impairment with hypotension was stronger in Chinese elderly who had decreased activity of daily living. Moreover, there was statistical evidence of a nonlinear dose-response relationship of SBP and DBP with cognitive impairment (Pnonlinear < 0.05). Conclusion Hypotension was a potential risk factor for cognitive impairment of the Chinese elderly, especially for those having decreased activity of daily living. Blood pressure management should be conducted to prevent them from cognitive impairment.

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“…[4][5][6][7] Some groups have studied the epidemiology of diseases among the older population, [8][9][10] whilst others have studied osteoporosis, osteoarthrosis and joint replacement, 11,12 stroke, 13 Parkinson's disease and dementia. Social gerontological research was initiated at the end of the 20th century, including studies of pension system reforms 2,3 and coping strategies and wellbeing of the older population.…”

Section: Introductionmentioning

confidence: 99%

Research on ageing and longevity in Estonia

Tamm

Saks

2010

Rev. Clin. Gerontol.

Self Cite

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Due to demographic changes, the population ageing process in Estonia accelerated rapidly at the end of the 20th century. In Estonia, research in gerontology and geriatrics has no long-standing tradition. In the beginning, social aspects like the pension system, coping strategies and well-being of aged people, were the research focus. More recently, epidemiological studies of diseases seen in the older population have been extensively conducted. In clinical medicine, the main research topics have been osteoporosis, Parkinson's disease, dementia and stroke. In this review, changes in neuromuscular function and hormonal regulation during ageing, and the genetic aspects of the Estonian Longevity Study will be described.The aim of the current paper is to introduce the main fields of gerontological research in Estonia to allow better integration with other research groups.

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Prevalence of cardiovascular disorders among the elderly in primary care in Estonia

Cited by 6 publications

References 17 publications

Heart failure care in the Central and Eastern Europe and Baltic region: status, barriers, and routes to improvement

Heart failure care in the Central and Eastern Europe and Baltic region: status, barriers, and routes to improvement

Hypotension and cognitive impairment among the elderly: Evidence from the CLHLS

Research on ageing and longevity in Estonia

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