What question did this study set out to answer?

This study investigates causes of death and survival risk factors among hypertensive patients.

February 1, 1986Journal of Hypertension

The Survival of Treated Hypertensive Patients and their Causes of Death: A Report from the DHSS Hypertensive Care Computing Project (DHCCP)

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Why the study?

What are the causes of death and independent risk factors for survival in patients treated for hypertension compared to the general population?

Population

5,451 patients with a diagnosis of hypertension, 69% already treated for hypertension at entry.

Comparison

Routine clinical management of hypertension vs General population of England and Wales

Design

Cohort

Authors

CBChristopher J. BulpittPreventive Cardiology DBD G BeeversUniversity of Salford ABAlan ButlerElectronic Privacy Information Center

Discussion

Member takes

Implication

Excess IHD and stroke mortality persists in treated hypertensives; leaves open whether intensified risk-factor control improves survival.

Key Points

This study investigates causes of death and survival risk factors among hypertensive patients.
Prospective study involving 4994 patients referred for hypertension treatment, and 457 treated by general practitioners.
Assessment of death causes and rates compared to England and Wales population.
Identification of independent risk factors affecting survival.
Ischaemic heart disease accounted for over one-third of deaths among participants.
Stroke was responsible for one-fifth of deaths, with rates significantly higher than expected for ages 50-59.
Independent risk factors for impaired survival included cigarette smoking, previous myocardial infarction, angina, impaired renal function, and elevated blood sugar.

Structured PICO

What are the causes of death and independent risk factors for survival in patients treated for hypertension compared to the general population?

Population

5,451 patients with a diagnosis of hypertension (4,994 referred to hospital specialist clinics and 457 treated by general practitioners), 69% already treated for hypertension at entry.

Intervention

Routine clinical management of hypertension

Comparator

General population of England and Wales

Outcome

Causes of death and risk factors for survivalhard clinical

Treated hypertensive patients experience significantly higher mortality from ischemic heart disease and stroke compared to the general population, with survival impaired by smoking, prior cardiovascular events, and metabolic or renal dysfunction.

Cite This Study

Bulpitt et al. (1986) studied this question.

synapsesocial.com/papers/6a710159febe604dd709bea3 https://doi.org/10.1097/00004872-198602000-00015

Topics

Hypertension management

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The Survival of Treated Hypertensive Patients and their Causes of Death: A Report from the DHSS Hypertensive Care Computing Project (DHCCP)

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

The Survival of Treated Hypertensive Patients and their Causes of Death: A Report from the DHSS Hypertensive Care Computing Project (DHCCP)

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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