Episode 296: 295. What is the Best Blood Pressure In the Nursing Home?

Episode 296: 295. What is the Best Blood Pressure In the Nursing Home?

In a retrospective cohort study of Veterans Affairs (VA) nursing home residents during 2006 to 2019, researchers identified 13,000 residents who initiated a first or additional antihypertensive medication and 52,000 propensity score–matched controls (mean age, 78). The primary outcome was a composite of pelvic fracture, surgically treated hip fracture, and fractures of the humerus, radius, and ulna that required intervention within 30 days of starting antihypertensive medication.

Initiating medication also was associated with elevated risks for falls that required emergency room visits or hospitalizations (aHR, 1.8) and elevated risks of syncope (aHR, 1.7).

Fracture risks were elevated, compared with controls, in initiators with a systolic blood pressure ≥140 mm Hg (aHR, 3.1), diastolic blood pressure ≥80 mm Hg (aHR, 4.4), and no recent antihypertensive medication use (aHR, 4.8).

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111. Dulaglutide, IVC Filter, Polypoll for Primary Prevention, and Afib Antithrombotic Therapy

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110. 3 Papers The Authors Got Wrong

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109. Be Thankful One Article Will Change Your Practice

109. Be Thankful One Article Will Change Your Practice

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108. Blood Cultures, Patiromer, and Pregnancy

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107. Placebo, Opioid Prescribing, Cancer Screening

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106. Kidney disease, Renal outcomes, Hepatitis C, HPV

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105. Diabetes, Boxer Fracture, ACOG and contraception

105. Diabetes, Boxer Fracture, ACOG and contraception

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104. Coronary Artery Calcium Score (CAC) - Should You Count On it?

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