TY - JOUR
T1 - Relationship between blood pressure and frailty in older hypertensive outpatients
AU - Basile, Giorgio
AU - Catalano, Antonino
AU - Mandraffino, Giuseppe
AU - Maltese, Giuseppe
AU - Alibrandi, Angela
AU - Ciancio, Giuliana
AU - Lasco, Antonino
AU - Cesari, Matteo
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Background
The benefits and risks of treating hypertension in old and frail patients are debated.
Aim
The aim of the present study is to measure the frailty status in older patients with hypertension and determine the relationships existing between blood pressure (BP) values and frailty.
Methods
Frailty was retrospectively assessed by using the frailty index (FI) in 56 hypertensive old outpatients. Patients with an FI > 0.25 were classified as frail.
Results
Forty-five out of 56 (80%) had a FI > 0.25. A statistically significant inverse correlation was found between FI and systolic BP (r = −0.319, p = 0.016), orthostatic systolic BP (r = −0.408, p = 0.002), orthostatic diastolic BP (r = −0.299, p = 0.025), and orthostatic pulse pressure (r = −0.297, p = 0.026).
Discussion
Frailer subjects appear as over-treated according to current European guidelines.
Conclusions
FI can play an important role in the clinical setting by supporting the identification of subjects at risk and allowing an improved provision of adapted and personalized care.
AB - Background
The benefits and risks of treating hypertension in old and frail patients are debated.
Aim
The aim of the present study is to measure the frailty status in older patients with hypertension and determine the relationships existing between blood pressure (BP) values and frailty.
Methods
Frailty was retrospectively assessed by using the frailty index (FI) in 56 hypertensive old outpatients. Patients with an FI > 0.25 were classified as frail.
Results
Forty-five out of 56 (80%) had a FI > 0.25. A statistically significant inverse correlation was found between FI and systolic BP (r = −0.319, p = 0.016), orthostatic systolic BP (r = −0.408, p = 0.002), orthostatic diastolic BP (r = −0.299, p = 0.025), and orthostatic pulse pressure (r = −0.297, p = 0.026).
Discussion
Frailer subjects appear as over-treated according to current European guidelines.
Conclusions
FI can play an important role in the clinical setting by supporting the identification of subjects at risk and allowing an improved provision of adapted and personalized care.
U2 - 10.1007/s40520-016-0684-5
DO - 10.1007/s40520-016-0684-5
M3 - Article
SN - 1720-8319
VL - 29
SP - 1049
EP - 1053
JO - Aging Clinical and Experimental Research
JF - Aging Clinical and Experimental Research
IS - 5
ER -