PATTERNS OF USE OF ANTIHYPERTENSIVE MEDICATIONS IN GERIATRIC POPULATIONS AT MAJENE DISTRICT GENERAL HOSPITAL
Keywords:Hypertension; Geriatrics; JNC-8; Adherence
Hypertension is a major health problem in Indonesia and also in various countries in the world. Based on epidemiological research, it was found that as we get older, blood pressure also rises. Hypertension is a problem in geriatrics because it is a major cause of coronary heart disease. Objective: To assess patterns of antihypertensive drug use in the geriatric population and the adherence of antihypertensive regimes towards the JNC-8 hypertension treatment guidelines within the geriatric population. Methods: This is a cross-sectional observational study using retrospective data consisting of medical records of outpatient hypertension patients at the General hospital in Majene District, Indonesia. The sample analyzed was geriatric patients (≥ 60 years) with uncomplicated hypertension. This study was conducted between July and October 2019. Results: Of 196 patients, 80 (40.81%) were male and 116 (59.18%) were female. Most of the prescriptions were given as single therapy use (72.5%) and the rest as multiple therapy use consisted mostly of a combination of two drugs (27.5%). Diuretics with ACEi are the most used combination (14.3%), followed by CCB with ACEI (7.7%) and Potassium-sparing diuretics (3.1%), last CCB + ARB (2.6%). The percentage for stage 1 hypertension patients is 77% and 15.3% for stage 2. Conclusion: Treatment of hypertension in geriatric patients at the Majene District General Hospital is not fully in line with current JNC-8 guidelines.
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