Analysis of older adult blood pressure readings and hypertension treatment rates among the unsheltered population of Miami‐Dade County

Autor: Suhas Seshadri, Orly Morgan, Alana Moore, Shivangi Parmar, Julie Schnur, Guy Montgomery, Armen Henderson, Joshua Laban
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Aging Medicine, Vol 6, Iss 4, Pp 320-327 (2023)
Druh dokumentu: article
ISSN: 2475-0360
DOI: 10.1002/agm2.12272
Popis: Abstract Objective To assess prevalence of elevated blood pressure readings, rates of established hypertension diagnosis, and blood pressure control medication prescription rates in a cohort of older people experiencing unsheltered homelessness presenting to a Street Medicine clinic in Miami‐Dade County, Florida. In addition, we will compare outcomes found in the study cohort to that of the general population. Methods Demographic information, clinical history, blood pressure control medication prescription, and blood pressure measurements were taken by a Street Medicine team of medical providers. The team routinely provides medical evaluations and care for people experiencing unsheltered homelessness who reside in rough sleeper tent encampments located on the street. Clinical information and vitals were recorded in REDCap. De‐identified data from patients 65 years and above were downloaded and compared to a general population data set—the Centers for Disease Control National Health and Nutrition Examination Survey (CDC NHANES) 2017–2020 Pre‐pandemic cohort. Data analysis was performed using R Studio version 4.3.2. Results Blood pressure was reported in 120 distinct interactions with older people experiencing homelessness. Compared to the age‐matched NHANES data, older people experiencing unsheltered homelessness were at significantly increased relative risk for elevated blood pressure within the range of Stage 1 Hypertension (RR: 3.914, 95% CI: 2.560–5.892, P
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