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Sustained SBP control and long-term nursing home admission among Medicare beneficiaries.

Publication ,  Journal Article
Bowling, CB; Sloane, R; Pieper, C; Luciano, A; Davis, BR; Simpson, LM; Einhorn, PT; Oparil, S; Muntner, P
Published in: J Hypertens
November 1, 2021

OBJECTIVES: Sustaining SBP control reduces the risk for cardiovascular events that impair function but its association with nursing home admission has not been well studied. METHODS: We conducted an analysis of sustained SBP control and long-term nursing home admissions using data from the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) linked to Medicare claims restricted to participants with fee-for-service coverage, at least eight study visits with SBP measurements, who were not living in a nursing home during a 48-month baseline BP assessment period (n = 6557). Sustained SBP control was defined as less than 140 mmHg at less than 50%, 50% to less than 75%, 75% to less than 100%, and 100% of visits. Nursing home admissions were identified using the Medicare Long Term Care Minimum Data Set. RESULTS: The mean age of participants was 73.8 years and 44.3% were men. Over a median follow-up of 9.2 years, 844 participants (12.8%) had a nursing home admission. Rates of nursing home admission per 100 person-years were 16.3 for participants with SBP control at less than 50%, 14.1 at 50% to less than 75%, 7.8 at 75% to less than 100%, and 5.3 at 100% of visits. Compared with those with sustained SBP control at less than 50% of visits, hazard ratios (95% confidence intervals) for nursing home admission were 0.79 (0.66-0.93), 0.70 (0.58-0.84), and 0.57 (0.44-0.74) among participants with SBP control at 50% to less than 75%, 75% to less than 100%, and 100% of visits, respectively. CONCLUSION: Among Medicare beneficiaries in ALLHAT, sustained SBP control was associated with a lower risk of long-term nursing home admission.

Duke Scholars

Published In

J Hypertens

DOI

EISSN

1473-5598

Publication Date

November 1, 2021

Volume

39

Issue

11

Start / End Page

2258 / 2264

Location

Netherlands

Related Subject Headings

  • United States
  • Nursing Homes
  • Myocardial Infarction
  • Medicare
  • Male
  • Humans
  • Hospitalization
  • Female
  • Cardiovascular System & Hematology
  • Antihypertensive Agents
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bowling, C. B., Sloane, R., Pieper, C., Luciano, A., Davis, B. R., Simpson, L. M., … Muntner, P. (2021). Sustained SBP control and long-term nursing home admission among Medicare beneficiaries. J Hypertens, 39(11), 2258–2264. https://doi.org/10.1097/HJH.0000000000002926
Bowling, C Barrett, Richard Sloane, Carl Pieper, Alison Luciano, Barry R. Davis, Lara M. Simpson, Paula T. Einhorn, Suzanne Oparil, and Paul Muntner. “Sustained SBP control and long-term nursing home admission among Medicare beneficiaries.J Hypertens 39, no. 11 (November 1, 2021): 2258–64. https://doi.org/10.1097/HJH.0000000000002926.
Bowling CB, Sloane R, Pieper C, Luciano A, Davis BR, Simpson LM, et al. Sustained SBP control and long-term nursing home admission among Medicare beneficiaries. J Hypertens. 2021 Nov 1;39(11):2258–64.
Bowling, C. Barrett, et al. “Sustained SBP control and long-term nursing home admission among Medicare beneficiaries.J Hypertens, vol. 39, no. 11, Nov. 2021, pp. 2258–64. Pubmed, doi:10.1097/HJH.0000000000002926.
Bowling CB, Sloane R, Pieper C, Luciano A, Davis BR, Simpson LM, Einhorn PT, Oparil S, Muntner P. Sustained SBP control and long-term nursing home admission among Medicare beneficiaries. J Hypertens. 2021 Nov 1;39(11):2258–2264.

Published In

J Hypertens

DOI

EISSN

1473-5598

Publication Date

November 1, 2021

Volume

39

Issue

11

Start / End Page

2258 / 2264

Location

Netherlands

Related Subject Headings

  • United States
  • Nursing Homes
  • Myocardial Infarction
  • Medicare
  • Male
  • Humans
  • Hospitalization
  • Female
  • Cardiovascular System & Hematology
  • Antihypertensive Agents