PP.10.11

Abstract

Objective: Estimation the relationship between mortality and blood pressure values and functional status among elderly residents of long-term care (LTC) facilities. Design and method: Medical documentation of elderly residents of 3 LTC facilities (two residential homes and one nursing home) were analyzed. Blood pressure (BP) measurements, Mini Nutritional Assessment (MNA), Abbreviated Mental Test Score (AMTS) and Barthel's Index were performed in all study participants at the beginning of the study. Mortality during one year follow-up was analyzed. Results obtained among residents with initial systolic BP values below140 mmHg [group I] and equal or above 140 mmHg [group II] were compared using U Mann-Whitney or Chi square tests. Results: The sample consisted of 168 residents, 78,7 ± 8,5 years old, 52,56% men. Group I (n = 122) and group II (n = 46) had similar age (78,7 ± 8,7 vs 78,7 ± 7,9y), number of diagnosed diseases (4,2 ± 1,8 vs 4,3 ± 1,6) number of used drugs (6,6 ± 3,6 vs 6,3 ± 3,6), and AMTS score (6,3 ± 3,2 vs7,3 ± 2,4). However group I showed significantly lower BP values (119,2 ± 11,7/69,0 ± 9,9 vs 151,6 ± 12,1/79,2 ± 10,3mmHg), MNA score (9,8 ± 3,1 vs 12,3 ± 1,9) and Barthel Index (36,2 ± 34,4 vs 77,3 ± 30,4). Moreover, frequency of deaths was higher in group I than II (15,6% vs 4,4%). Conclusions: Elderly residents of LTC facilities with lower BP values, functional status and higher risk of malnutrition revealed higher probability of death during one year follow-up.