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January 1, 2024Journal of Korean Medical ScienceOpen Access

Characteristics According to Frailty Status Among Older Korean Patients With Hypertension

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Key result

Frail and pre-frail older patients with hypertension used significantly more antihypertensive medications (2.06 vs 1.95, p=0.003) and exhibited more comorbidities and functional decline compared to robust patients.

Why the study?

With the increasing prevalence of hypertension with age and an expanding older population, research was needed to identify the clinical characteristics of older hypertensive patients in Korea according to frailty status.

Population

2,085 older hypertensive Korean patients aged ≥ 65 years from 11 university hospitals

Comparison

Characteristics based on frailty status

Design

Screening assessment analysis from a prospective, multicenter, open-label randomized clinical trial

Authors

JCJung‐Yeon ChoiSeoul National UniversityHLHae‐Young LeeHeart Failure & TransplantJLJu‐Hee LeeYonsei University

Discussion

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Implication

Frail older hypertensives exhibit more comorbidities, functional decline, and medication use; leaves open whether frailty modifies intensive BP target benefits.

Study Design

Type

Cross-Sectional (n=2,085)

Blinding

Open-label

Multicenter

Yes

PICO

P
Population
2,085 older Korean adults (mean age 73.2 years, 52% female) aged 65 years or older with hypertension and independent activities of daily living, assessed cross-sectionally at baseline.
E
Exposure / Comparator
Frailty and pre-frailty vs Robust status
O
Primary Outcome
Mean number of antihypertensive medications, p=0.003

Main Result

Absolute Event Rate: 2.06% vs 1.95%

p-value: p=0.003

Limitations

  • The cross-sectional nature of the study limits the ability to infer causality between frailty and clinical characteristics.
  • It is unclear whether the preference for beta-blockers in frail patients is due to comorbidity patterns or if frailty status directly influences medication choice.

Cite This Study

Choi et al. (2024) conducted a cross-sectional in Hypertension (n=2,085). Frailty and pre-frailty vs. Robust status was evaluated on Mean number of antihypertensive medications (p=0.003). Frail and pre-frail older patients with hypertension used significantly more antihypertensive medications (2.06 vs 1.95, p=0.003) and exhibited more comorbidities and functional decline compared to robust patients.

synapsesocial.com/papers/6a7ca35310d8655be6fab524https://doi.org/10.3346/jkms.2024.39.e84

Topics

Hypertension management
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Sodium Reduction and Weight Loss in the Treatment of Hypertension in Older Persons1998 · 1,210 citations
  2. 2Trial of Intensive Blood-Pressure Control in Older Patients with Hypertension2021 · 783 citations
  3. 3Brief Screening for Mild Cognitive Impairment in Elderly Outpatient Clinic: Validation of the Korean Version of the Montreal Cognitive Assessment2008 · 526 citations
  4. 4Weight Loss in Overweight Adults and the Long-term Risk of Hypertension2005 · 116 citations