Is pulse pressure a predictor of cardiovascular complications in a frail elderly nursing home population?
GROUND AND AIMS: Previous studies have focused on systolic blood pressure (SBP), diastolic pressure (DBP), and more recently pulse pressure (PP) as risk factors for adverse cardiovascular (CV) endpoints in elderly people. However, the relation between these pressures and CV complications in the frail nursing home population has not been well studied. The aims of this project are to determine the value of PP in predicting CV complications in a nursing home population, and to compare its predictive value with SBP, DBP, and mean arterial pressure (MAP). METHODS: This study is a retrospective 2-year review of the medical charts of 248 residents of the Hebrew Rehabilitation Center for the Aged, a long-term care facility in Boston, MA, USA. During the review process, data were collected about past medical history and new onset CV events, in addition to blood pressure and medication use. RESULTS: The results showed, with 95% confidence, that within a 2-year period, the odds ratio for the occu