About 1.7 years of more intensive hypertensive treatment required to prevent one stroke per 200 adults aged 65 years or older
WEDNESDAY, Feb. 9, 2022 (HealthDay News) — About 1.7 years of more intensive hypertensive treatment would be needed to prevent one stroke per 200 older adults, according to research published online Feb. 9 in the Journal of the American Geriatrics Society.
Vanessa S. Ho, from California Northstate University in Elk Grove, and colleagues conducted a meta-analysis to estimate the time to benefit (TTB) for stroke prevention after initiation of more intensive hypertension treatment in adults aged 65 years or older. Data were abstracted from randomized controlled trials comparing standard to more intensive treatment groups among older adults. Data were included from nine trials, with 38,779 individuals.
The researchers found that for 200 persons receiving more intensive hypertensive treatment, 1.7 years were required to prevent one stroke. Across studies, there was heterogeneity; longer TTB was seen for studies focusing on tighter systolic blood pressure (SBP) control (SBP
“These results suggest that almost all older adults with hypertension would benefit from treatment,” the authors write. “For older adults with relatively well-controlled hypertension (i.e., SBP
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