Hypertension treatment in US long-term nursing home residents with and without dementia
Journal of the American Geriatrics Society Jul 27, 2019
Boockvar KS, et al. - Among nursing home (NH) residents who are hypertensive with and without dementia in the US, researchers analyzed patterns of antihypertensive medication treatment. They also investigated the link between antihypertensive therapy and results in subjects with dementia in this observational cohort study. This study included 255,670 NH residents who received treatment for hypertension. Of these, moderate or severe cognitive impairment was present in 117,732 (46.0%). Factors that were found to be related to having fewer antihypertensive medications were moderate or severe cognitive impairment, worse physical function, and hospice or less than a 6-month life expectancy. No significant benefits from more intensive antihypertensive therapy were evident among long-term NH residents with hypertension.
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