Trends in blood pressure diagnosis, treatment, and control among VA nursing home residents, 2007-2018.

ABSTRACT:

Background

Inadequate treatment of high blood pressure (BP) can lead to preventable adverse events in nursing home residents, while excessive treatment can lead to associated harms.

Methods

Data were extracted from the VA electronic health record and Bar Code Medication Administration system on 40,079 long-term care residents aged ≥65 years from October 2006 through September 2018 (FY2007-2018). Hypertension prevalence at admission was identified by ICD code(s) in the year prior, and antihypertensive medication use was defined as administration ≥50% of days. BP measures were averaged over 2-year epochs.

Results

The age-standardized prevalence of hypertension diagnosis at admission increased from 75.2% in FY2007-2008 to 85.1% in FY2017-2018 (p-value for trend <0.001).

SUBMITTER: Odden MC 

PROVIDER: S-EPMC9378662 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature