What question did this study set out to answer?

March 1, 1994Journal of Hypertension

Effects of 'Stroke-Belt' residence, screening blood pressure and personal history risk factors on all-cause mortality among hypertensive veterans

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Why the study?

Does residence in the 'Stroke Belt' increase all-cause mortality in hypertensive male veterans starting antihypertensive treatment?

Population

5,698 previously untreated male hypertensive military veterans, 50% Black, mean age 52.3 years, mean…

Comparison

Residence in the southeastern USA ('Stroke Belt') vs Residence elsewhere in the USA

Design

Cohort

Follow-up

14 years

Authors

HPH. Mitchell PerryBoston University KGKathleen N. GillespieCenters for Disease Control and Prevention JRJames C. RomeisBoston University

Discussion

Member takes

Implication

Stroke Belt residence was associated with higher mortality in hypertensive veterans; hypothesis-generating for regional disparities and requires prospective confirmation before guiding care.

Key Points

The aim is to explore regional differences in all-cause mortality among hypertensive veterans and their relation to pre-treatment risk factors.
Collected pretreatment clinical data from 5698 hypertensive veterans.
Analyzed relationships using chi-square tests, z-tests, and logistic regression over a 14-year follow-up.
Considered factors including age, blood pressure, BMI, and substance use.
2283 patients (40%) died in the 14 years post-treatment.
Veterans from the southeastern USA had a 1.32-fold increase in mortality risk compared to others.
Age, blood pressure, and lifestyle factors were positively correlated with mortality.

Structured PICO

Does residence in the 'Stroke Belt' increase all-cause mortality in hypertensive male veterans starting antihypertensive treatment?

Population

5,698 previously untreated male hypertensive military veterans, 50% Black, mean age 52.3 years, mean pretreatment blood pressure 160/104 mmHg, treated in 28 Veterans Administration outpatient clinics throughout the USA.

Intervention

Residence in the southeastern USA ('Stroke Belt')

Comparator

Residence elsewhere in the USA

Outcome

All-cause mortality during the 14 years following institution of antihypertensive treatmenthard clinical

Hypertensive male veterans residing in the southeastern US 'Stroke Belt' have a significantly higher risk of all-cause mortality compared to those living elsewhere.

Cite This Study

Perry et al. (1994) studied this question.

synapsesocial.com/papers/6a72869ba528af2d65c4734e https://doi.org/10.1097/00004872-199403000-00014

Topics

Hypertension management

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Implication

Stroke Belt residence was associated with higher mortality in hypertensive veterans; hypothesis-generating for regional disparities and requires prospective confirmation before guiding care.

Effects of 'Stroke-Belt' residence, screening blood pressure and personal history risk factors on all-cause mortality among hypertensive veterans

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Effects of 'Stroke-Belt' residence, screening blood pressure and personal history risk factors on all-cause mortality among hypertensive veterans

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

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