Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care
Background: Comprehensive geriatric care (CGC) is a multiprofessional treatment for older people which considers medical conditions and functional status. The aim of the presented study is to investigate the impact of hypertensive blood pressure (BP) on functional outcomes among older adults receivi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Geriatrics |
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| Online Access: | https://www.mdpi.com/2308-3417/8/2/32 |
| _version_ | 1797605316894916608 |
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| author | Marco Meyer Ulrich Niemöller Andreas Arnold Thomas Stein Damir Erkapic Patrick Schramm Christian Tanislav |
| author_facet | Marco Meyer Ulrich Niemöller Andreas Arnold Thomas Stein Damir Erkapic Patrick Schramm Christian Tanislav |
| author_sort | Marco Meyer |
| collection | DOAJ |
| description | Background: Comprehensive geriatric care (CGC) is a multiprofessional treatment for older people which considers medical conditions and functional status. The aim of the presented study is to investigate the impact of hypertensive blood pressure (BP) on functional outcomes among older adults receiving CGC. Methods: Functional status was documented by the Barthel index (BI), Tinetti test (TBGT), and timed up and go test (TUG) prior to and after CGC. The results were analyzed in relation to hypertensive BP, indicated by mean BP ≥ 130/80 mmHg determined by 24 h blood pressure monitoring (BPM) while hospitalized. Results: In the presented monocentric, retrospective, observational study, 490 patients were included (mean age (SD): 83.86 ± 6.17 years, 72.2% females). Hypertension in BPM was found in 302 (61.6%) individuals. Hypertensive BP was associated with the female sex (<i>p</i> < 0.001) and current fracture (<i>p</i> = 0.001), and inversely associated with heart failure (<i>p</i> < 0.001), coronary heart disease (<i>p</i> < 0.001), atrial fibrillation (<i>p</i> < 0.001), urinary tract infection (<i>p</i> = 0.022), and hypocalcemia (<i>p</i> = 0.014). After CGC, improvements in BI (<i>p</i> < 0.001), TBGT (<i>p</i> < 0.001), and TUG (<i>p</i> < 0.001) were observed in patients with both normotensive and hypertensive BP profiles. The proportion of patients with outcome improvements did not differ between the two groups (BI: 84.4% vs. 88.3%, <i>p</i> = 0.285; TBGT: 81.1% vs. 77.7%, <i>p</i> = 0.357; TUG: 50.3% vs. 48.4%, <i>p</i> = 0.711). Conclusion: Patients both with and without hypertensive BP profiles benefited from comprehensive geriatric care with comparable outcome improvements. Particularly, normotensive BP was associated with chronic cardiovascular comorbidities, indicating increased awareness of the importance of BP management in patients diagnosed with cardiac diseases. |
| first_indexed | 2024-03-11T04:59:19Z |
| format | Article |
| id | doaj.art-b7f1f7b573ed4eb7a52cfa9bbba21002 |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-11T04:59:19Z |
| publishDate | 2023-02-01 |
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| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-b7f1f7b573ed4eb7a52cfa9bbba210022023-11-17T19:25:33ZengMDPI AGGeriatrics2308-34172023-02-01823210.3390/geriatrics8020032Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric CareMarco Meyer0Ulrich Niemöller1Andreas Arnold2Thomas Stein3Damir Erkapic4Patrick Schramm5Christian Tanislav6Department of Geriatrics, Diakonie Hospital Jung-Stilling Siegen, 57074 Siegen, GermanyDepartment of Geriatrics, Diakonie Hospital Jung-Stilling Siegen, 57074 Siegen, GermanyDepartment of Geriatrics, Diakonie Hospital Jung-Stilling Siegen, 57074 Siegen, GermanyDepartment of Geriatrics, Diakonie Hospital Jung-Stilling Siegen, 57074 Siegen, GermanyDepartment of Cardiology, Rhythmology and Angiology, Diakonie Hospital Jung-Stilling, 57074 Siegen, GermanyDepartment of Neurology, Justus Liebig University, 35385 Giessen, GermanyDepartment of Geriatrics, Diakonie Hospital Jung-Stilling Siegen, 57074 Siegen, GermanyBackground: Comprehensive geriatric care (CGC) is a multiprofessional treatment for older people which considers medical conditions and functional status. The aim of the presented study is to investigate the impact of hypertensive blood pressure (BP) on functional outcomes among older adults receiving CGC. Methods: Functional status was documented by the Barthel index (BI), Tinetti test (TBGT), and timed up and go test (TUG) prior to and after CGC. The results were analyzed in relation to hypertensive BP, indicated by mean BP ≥ 130/80 mmHg determined by 24 h blood pressure monitoring (BPM) while hospitalized. Results: In the presented monocentric, retrospective, observational study, 490 patients were included (mean age (SD): 83.86 ± 6.17 years, 72.2% females). Hypertension in BPM was found in 302 (61.6%) individuals. Hypertensive BP was associated with the female sex (<i>p</i> < 0.001) and current fracture (<i>p</i> = 0.001), and inversely associated with heart failure (<i>p</i> < 0.001), coronary heart disease (<i>p</i> < 0.001), atrial fibrillation (<i>p</i> < 0.001), urinary tract infection (<i>p</i> = 0.022), and hypocalcemia (<i>p</i> = 0.014). After CGC, improvements in BI (<i>p</i> < 0.001), TBGT (<i>p</i> < 0.001), and TUG (<i>p</i> < 0.001) were observed in patients with both normotensive and hypertensive BP profiles. The proportion of patients with outcome improvements did not differ between the two groups (BI: 84.4% vs. 88.3%, <i>p</i> = 0.285; TBGT: 81.1% vs. 77.7%, <i>p</i> = 0.357; TUG: 50.3% vs. 48.4%, <i>p</i> = 0.711). Conclusion: Patients both with and without hypertensive BP profiles benefited from comprehensive geriatric care with comparable outcome improvements. Particularly, normotensive BP was associated with chronic cardiovascular comorbidities, indicating increased awareness of the importance of BP management in patients diagnosed with cardiac diseases.https://www.mdpi.com/2308-3417/8/2/32comprehensive geriatric caregeriatricsfunctional outcomeblood pressure |
| spellingShingle | Marco Meyer Ulrich Niemöller Andreas Arnold Thomas Stein Damir Erkapic Patrick Schramm Christian Tanislav Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care Geriatrics comprehensive geriatric care geriatrics functional outcome blood pressure |
| title | Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care |
| title_full | Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care |
| title_fullStr | Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care |
| title_full_unstemmed | Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care |
| title_short | Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care |
| title_sort | hypertensive blood pressure and its impact on functional outcomes among older adults receiving comprehensive geriatric care |
| topic | comprehensive geriatric care geriatrics functional outcome blood pressure |
| url | https://www.mdpi.com/2308-3417/8/2/32 |
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