Blood Pressure Management in the Care Home Population

NCT06337682 | Active Not Recruiting DMC

• 1 other identifier: CB_CY_P09_23_11
• Study Type: observational
• Target: 3,000
• Locations: 1 country
• Sites: 1

Brief Summary

The UK care home population is projected to increase significantly over the coming decades. A high proportion of individuals in a care home have multiple long-term conditions and take large amounts of prescribed medication. This means they are routinely excluded from research studies and so there is little evidence on which to base treatment of long-term conditions such as high blood pressure. Furthermore, given that 1 in 4 people admitted into a care home die within 1 year, the benefit of treating high blood pressure to reduce the risk of heart attack or stroke must be balanced with the need to optimise quality of life. The aim of this study is to describe the health and social characteristics of the UK care home population with a particular focus on the management of blood pressure in the population. It is hoped that the findings of this study will help inform future research into the management of chronic conditions in care home residents.

Conditions

Aging; Hypertension

Keywords

Nursing Home; Residential Home; Deprescribing

Outcome Measures

Primary Outcomes (3)

• Frequency of blood pressure measurements

  the proportion of individuals entering a care home, with a diagnosis of hypertension, have their blood pressure measured in the year following admission

  from the point of admission up to 12 months following admission

• change in antihypertensive medication

  change in the number or type of antihypertensive mediation from six months before care home admission to six months following care home admission

  6 months before admission to 6 months following admission

• Injurious falls

  one year incidence of a fall resulting in hospital attendance in those entering a care home

  from the point of admission up to 12 months after admission

Secondary Outcomes (3)

• Prevalence of hypertension

  at the day of admission to a care home (this will vary between each individual)

• Antihypertensive medication

  at the day of admission to a care home (this will vary between each individual)

• Blood pressure treatment

  12 months following admission

Other Outcomes (1)

• change in systolic pressure following care home admission

  12 months before admission for the first measure and 12 months after admission for the second measure.

Study Arms (1)

Care home cohort

Individuals aged 65 or over registered to a GP practice which is part of the Connected Bradford Database who have been admitted to a CH between January 2016 and January 2020, with a recorded length of stay more than 6 weeks, will be included in the study.

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Care home residents in the Bradford metropolitan area. The Bradford population has high levels of deprivation and ethnic diversity; a large proportion of the population identify as Pakistani ethnicity.

You may qualify if:

• registered to a GP practice contributing to the Connected Bradford dataset at the point of admission
• a recorded length of stay in a care home of longer than six weeks
• recorded social care entry for nursing or residential care in the Bradford council social care data.

Sponsors & Collaborators

• University of Leeds: lead
• Bradford Teaching Hospitals NHS Foundation Trust: collaborator

Study Sites (1)

Academic Unit for Ageing and Stroke Research

Bradford, West Yorkshire, BD9 6RJ, United Kingdom

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Academic Clinical Lecturer

Study Record Dates

• First Submitted: March 14, 2024
• First Posted: March 29, 2024
• Study Start: January 1, 2016
• Primary Completion: January 1, 2020
• Study Completion: June 1, 2024
• Last Updated: March 29, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)