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Predictors of 5-year Survival of Elderly with Hypertension. A Prospective Cohort Study. | LitMetric
Background : Given the high prevalence of hypertension in older adults, this study was conducted to identify the factors affecting the 5-year survival of older people with hypertension.Materials And Methods : In this cohort study, individuals aged 60 and over living in Amirkola, north of Iran who were diagnosed with hypertension were followed up for 5 years, and the effect of various factors on their survival was analyzed.Results : Among 1439 older people, 892 individuals (61.99%) had hypertension. Age (adjusted hazard ratio [aHR] =1.052, 95% confidence interval [CI] =1.019-1.086, = 0.002), diabetes mellitus (aHR = 2.166, 95% CI = 1.398-3.354, = 0.001), serum creatinine (aHR = 2.163, 95% CI = 1.391-3.363, = 0.001), female gender (aHR = 0.460, 95% CI = 0.276-0.766, = 0.003), body mass index ≥30 kg/m (aHR = 0.386, 95% CI = 0.212-0.701, = 0.002), physical activity score >150 (aHR = 0.382, 95% CI = 0.162-0.898, = 0.027), each one unit increase of social support score (aHR = 0.914, 95% CI = 0.861-0.970, = 0.003), and instrumental functional ability score (aHR = 0.907, 95% CI = 0.843-0.974, = 0.009) showed a significant effect on 5-year survival of older people.Conclusion : Multiple factors (such as age, gender, social support, lifestyle behaviors, and comorbidities including diabetes mellitus and renal function) might predict the 5-year survival of the elderly with hypertension. They should be considered in health-care package of these patients.
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