Antihypertensive Drug Deintensification and Recurrent Falls in Long-Term Care.

ABSTRACT:

Objective

To examine the relationship between antihypertensive drug deintensification and recurrent falls in long-term care.

Data sources/settings

Department of Veterans Affairs (VA) inpatient, outpatient, and purchased care data, Minimum Data Set assessments from VA nursing homes (NHs), and Medicare claims from fiscal years 2010 - 2015.

Study design

We identified NH residents with evidence of overaggressive antihypertensive treatment, defined as systolic blood pressure (SBP) 80-120 and an index fall. Recurrent fall, hospitalization, and mortality within 30 days were compared between veterans whose antihypertensive medications were deintensified versus those whose antihypertensive medications were not using propensity score methods (PSM).

Principal findings

Amo

SUBMITTER: Song W 

PROVIDER: S-EPMC6232451 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature