Key result
Age 60 and older linked to ~81-fold higher odds of hypertensive crisis versus under 40.
Why the study?
The prevalence, trend over time, and associated sociodemographic and behavioral factors of hypertensive crisis in Peruvian adults were not well characterized.
Cross-Sectional (n=166,741)
Yes
Hypertensive crisis affected 1.3% of Peruvian adults between 2014 and 2019, with a decreasing trend over time but strong associations with older age, male sex, obesity, and diabetes.
Answers are grounded in this paper and cite their sources.
Declining hypertensive crisis prevalence in Peru warrants surveillance; leaves open whether associated factors require targeted prospective validation.
Objectives: To determine the prevalence and trend over time of the hypertensive crisis, as well as sociodemographic and behavioral factors associated with it in Peruvian adults. Materials and methods: Cross-sectional analysis of the Demographic and Family Health Survey (ENDES) from 2014 to 2019. The dependent variable was hypertensive status, with three categories: normotensive, hypertensive, and those with hypertensive crisis (CH). HC was defined as systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥110 mmHg. Associated variables of interest were evaluated using multinomial logistic regression, and the trend of HC was assessed using the Cochrane-Armitage test. Results: A total of 166,741 participants were analyzed, mean age 43.5 (± 16.4) years, 54.4% were women, and 75.5% came from urban areas. The prevalence of hypertensive crisis was 1.3% (95% CI: 1.2% - 1.4%), and this estimate decreased from 1.6% in 2014 to 1.1% in 2019 (p< 0.001). Cases of hypertensive crises were more frequent in older individuals, especially those aged 60+ (OR = 80.6), males (OR = 1.43), urban residents (OR = 1.25), overweight (OR 1.65) or obese (OR = 2.41) and having diabetes (OR = 2.22). Conclusions: The presence of hypertensive crisis was relatively common in the general Peruvian population. There is a need to improve the strategies for diagnosis, treatment, and control of hypertension in our context to reduce the cases of hypertensive crisis.
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Ocon et al. (2023) conducted a cross-sectional in Hypertensive crisis (n=166,741). Age ≥60 years vs. Age <40 years was evaluated on Hypertensive crisis (OR 80.56, 95% CI 55.63-116.66, p=<0.001). Advanced age was strongly associated with hypertensive crisis, with individuals aged 60 and older having an 80.56-fold higher odds compared to those under 40.
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