TITLE

Mortality among patients with hypertension from 1995 to 2005: a population-based study

AUTHOR(S)
Tu, Karen; Zhongliang Chen; Lipscombe, Lorraine L.
PUB. DATE
May 2008
SOURCE
CMAJ: Canadian Medical Association Journal;5/20/2008, Vol. 178 Issue 11, p1436
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: We have reported that the prevalence of diagnosed hypertension increased by 60% from 1995 to 2005 in Ontario. In the present study, we asked whether this increase is explained by a decrease in the mortality rate. Methods: We performed a population-based cohort study using linked administrative data for Ontario, a Canadian province with over 12 million residents. We identified prevalent cases of hypertension using a validated case-definition algorithm for hypertension, and we examined trends in mortality from 1995 to 2005 among adults aged 20 years and older with hypertension. Results: The age- and sex-adjusted mortality among patients with hypertension decreased from 11.3 per 1000 people in 1995 to 9.6 per 1000 in 2005 (p < 0.001), which is a relative reduction of 15.5%. We found that the relative decrease in age-adjusted mortality was higher among men than among women (-22.2% v. -7.3%, p < 0.001). Interpretation: Mortality rates among patients with hypertension have decreased. Along with an increasing incidence, decreased mortality rates may contribute to the increased prevalence of diagnosed hypertension. Sex-related discrepancies in the reduction of mortality warrant further investigation.
ACCESSION #
31935464

 

Related Articles

  • MEDITERRANEAN DIET AND RISK OF HYPERTENSION: THE SUN STUDY. Martínez-González, M. Á.; Alonso, Á.; Sánchez-Villegas, A.; Fuente, C.; Bes-Rastrollo, M.; Irala-Estévez, J. // Journal of Epidemiology & Community Health;Aug2004 Supplement 1, Vol. 58, pA39 

    The article reports that many components of Mediterranean diet have been independently associated with a lower risk of hypertension. However, whether an overall Mediterranean dietary pattern, with a high amount of energy from fat, is associated with a lower risk of hypertension has not been...

  • 30 Year Patterns of Mortality in Tobago, West Indies, 1976-2005: Impact of Glucose Intolerance and Alcohol Intake. Molokhia, Mariam; Nitsch, Dorothea; Patrick, Alan Leslie; McKeigue, Paul // PLoS ONE;2011, Vol. 6 Issue 1, p1 

    Objectives: To determine the main predictors of all-cause and cardiovascular (CV) mortality in a rural West Indian population in Plymouth, Tobago over 30 years. Methods: Questionnaire survey for CV risk factors and alcohol consumption patterns administered at baseline in 1976 with 92.5% response...

  • A bradykinin antagonist and a caspase inhibitor prevent severe pulmonary hypertension in a rat model. Taraseviciene-Stewart, Laimute; Gera, Lajos; Hirth, Peter; Voelkel, Norbert F.; Tuder, Rubin M.; Stewart, John M. // Canadian Journal of Physiology & Pharmacology;Apr2002, Vol. 80 Issue 4, p269 

    Chronically hypoxic rats (exposed to 5000 m elevation for 3 weeks) develop pulmonary hypertension (PH) that is reversed upon return to normoxia and is blocked by bradykinin (BK) antagonist B9430 treatment (100 μg/kg s.c. three times per week). Treatment of rats with both the synthetic VEGF...

  • Pulse Wave Analysis in Normal Pregnancy: A Prospective Longitudinal Study. Khalil, Asma; Jauniaux, Eric; Cooper, Derek; Harrington, Kevin // PLoS ONE;2009, Vol. 4 Issue 7, p1 

    Background: Outside pregnancy, arterial pulse wave analysis provides valuable information in hypertension and vascular disease. Studies in pregnancy using this technique show that vascular stiffness is raised in women with established preeclampsia. We aimed to establish normal ranges for...

  • HYPERTENSION.  // Heart;Jun2006, Vol. 92 Issue 6, p843 

    The article highlights several studies made related to hypertension. One study examines the sustained changes in unhealthy lifestyle behaviors of adults. Another study is the role of subtle renal impairment in predicting cardiovascular outcome while the other study investigated a prospective...

  • Long-term renal outcome in patients with malignant hypertension: a retrospective cohort study. Amraoui, Fouad; Bos, Sarah; Vogt, Liffert; van den Born, Bert-Jan // BMC Nephrology;2012, Vol. 13 Issue 1, p71 

    Background: Malignant hypertension is frequently complicated by renal insufficiency. Although the survival of this hypertensive emergency has improved, recent data on renal outcome and its predictors are lacking. We assessed renal outcome and its predictors in patients with malignant...

  • Non-cirrhotic Intrahepatic Portal Hypertension: Associated Gut Diseases and Prognostic Factors. Eapen, C.; Nightingale, Peter; Hubscher, Stefan; Lane, Peter; Plant, Timothy; Velissaris, Dimitris; Elias, Elwyn // Digestive Diseases & Sciences;Jan2011, Vol. 56 Issue 1, p227 

    Background/Aims: Non-cirrhotic intrahepatic portal hypertension (NCIPH) is generally regarded to have a benign prognosis. We have studied a cohort followed-up at a tertiary referral center and postulate that gut-derived prothrombotic factors may contribute to the pathogenesis and prognosis of...

  • Cardiovascular risk estimation in women with a history of hypertensive pregnancy disorders at term: a longitudinal follow-up study. Hermes, Wietske; Tamsma, Jouke T.; Grootendorst, Diana C.; Franx, Arie; Der Post, Joris van; Van Pampus, Maria G.; Bloemenkamp, Kitty W. M.; Porath, Martina; Mol, Ben W.; De Groot, Christianne J. M. // BMC Pregnancy & Childbirth;2013, Vol. 13 Issue 1, p1 

    Background: Cardiovascular disease is associated with major morbidity and mortality in women in the Western world. Prediction of an individual cardiovascular disease risk in young women is difficult. It is known that women with hypertensive pregnancy complications have an increased risk for...

  • Prehypertension: not as risky as thought?  // Cortlandt Forum;3/25/2005, Vol. 18 Issue 3, p22 

    This article reports that in 2003, national guidelines introduced prehypertension, declaring the diagnosis risky enough to deserve a red-flag classification all its own and urging that it be addressed with lifestyle modifications. But, a new study finds no significant independent mortality risk...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics