A cross-sectional study of elderly patients with hypertension in Chongqing and suggestions for multidisciplinary diagnosis and treatment regimen

Abstract:

Objective：To investigate the current status of elderly patients with hypertension in Chongqing，China，and to understand the prevalence，medical treatment，and disease management of elderly patients with hypertension. Methods：A descriptive cross-sectional study was performed for 497 elderly patients with hypertension who were admitted to Department of Geriatrics，Department of Cardiol－ogy，and Qinggang Nursing Center in The First Affiliated Hospital of Chongqing Medical University from February to June，2016. Results：A total of 497 usable questionnaires were collected，and the control rate of blood pressure was 55.73%. The univariate analy－sis showed that there were significant differences in age，blood pressure，drinking history，and frequency of hospital visits between the controlled blood pressure group and the uncontrolled blood pressure group. The completion rates of healthy lifestyle indicators were above 50%. There were high positive rates of the basic items and some recommended items in the laboratory examination for risk classification of hypertension. Of all respondents，24（4.83%） had simple hypertension and 473（95.17%） had concomitant diseases，with the highest number of 8 concomitant diseases. Of all respondents，275（55.33%） were treated with more than one antihypertensive drug，with the highest number of 4 drugs. Conclusion：Elderly patients with hypertension are characterized by the coexistence of mul－tiple diseases，multiple drug use，and difficulties in treatment. Comprehensive hospitals should set up a multidisciplinary diagnosis and treatment mode for elderly hypertensive patients，in order to provide comprehensive evaluations and reasonable treatment regimens.