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Predictors of 5-year Survival of Elderly with Hypertension. A Prospective Cohort Study
- Source :
- Journal of Research in Medical Sciences, Vol 29, Iss 1, Pp 36-36 (2024)
- Publication Year :
- 2024
- Publisher :
- Wolters Kluwer Medknow Publications, 2024.
-
Abstract
- Background: Given the high prevalence of hypertension in older adults, this study was conducted to identify the factors affecting the 5-year survival of older people with hypertension. Materials and Methods: In this cohort study, individuals aged 60 and over living in Amirkola, north of Iran who were diagnosed with hypertension were followed up for 5 years, and the effect of various factors on their survival was analyzed. Results: Among 1439 older people, 892 individuals (61.99%) had hypertension. Age (adjusted hazard ratio [aHR] =1.052, 95% confidence interval [CI] =1.019–1.086, P = 0.002), diabetes mellitus (aHR = 2.166, 95% CI = 1.398–3.354, P = 0.001), serum creatinine (aHR = 2.163, 95% CI = 1.391–3.363, P = 0.001), female gender (aHR = 0.460, 95% CI = 0.276–0.766, P = 0.003), body mass index ≥30 kg/m2 (aHR = 0.386, 95% CI = 0.212–0.701, P = 0.002), physical activity score >150 (aHR = 0.382, 95% CI = 0.162–0.898, P = 0.027), each one unit increase of social support score (aHR = 0.914, 95% CI = 0.861–0.970, P = 0.003), and instrumental functional ability score (aHR = 0.907, 95% CI = 0.843–0.974, P = 0.009) showed a significant effect on 5-year survival of older people. Conclusion: Multiple factors (such as age, gender, social support, lifestyle behaviors, and comorbidities including diabetes mellitus and renal function) might predict the 5-year survival of the elderly with hypertension. They should be considered in health-care package of these patients.
- Subjects :
- elderly
hypertension
mortality
survival
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 17351995 and 17357136
- Volume :
- 29
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Research in Medical Sciences
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.b272becfc0b40bd8b3ab4dbfa326ca3
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/jrms.jrms_859_22