Poor adherence increases stroke risk
European Heart Journal (2013) doi:10.1093/eurheartj/eht219
Further evidence that nurses should encourage adherence to antihypertensives emerged recently from a study that enrolled 73,527 patients with hypertension aged at least 30 years who did not have a history of stroke or cardiovascular disease.
During average follow up lasting about seven years, 2144 patients died from stroke and 24,560 were hospitalised after a stroke. After two years follow up, non-adherent patients were 3.81 times more likely to die following a stroke than those who had consistently taken antihypertensives. After 10 years, non-adherent patients were 3.01 times more likely to suffer a stroke.
Non-adherence to antihypertensives during the year of the stroke increased the risk of death and hospitalisation 5.68 and 1.87 fold respectively. Furthermore, the risk of death and hospitalisation rose with the degree of non-adherence. For example, the risk of death among patients showing non- and intermediate adherence was 7.99 and 3.60 higher respectively than in the group who were highly adherent during the year in which the stroke occurred.
Millions of older people at risk of harm from alcohol
Age and Ageing (2013) doi:10.1093/ageing/aft039