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Blood pressure evaluation and review of antihypertensive medication in patients with life limiting illness

Lookup NU author(s): Dr Felicity Dewhurst, Professor Adam ToddORCiD



This is the authors' accepted manuscript of an article that has been published in its final definitive form by Springer Netherlands, 2016.

For re-use rights please refer to the publisher's terms and conditions.


© 2016, Springer International Publishing. Background Patients with life limiting illness commonly have multiple co-morbidities that require the use of complex, costly pharmacotherapy. One such example is using medications to treat hypertension in life limiting illness. Objective To: (1) assess the prevalence of previously documented hypertension and associated blood pressure in a cohort of patients with life limiting illness; and, (2) assess the appropriateness of antihypertensive medication in this patient group. Method This was a single centre study at a tertiary, specialist palliative care centre in Northern England. Electronic medical notes were reviewed and data were extracted. Antihypertensive medication was assessed for appropriateness using a conceptual framework. Results A total number of 54 patients were included in the study. Twenty six (48.1 %) had previously documented hypertension: the mean blood pressure of which was 122/65 mmHg (SD 17.0/10.5), while for the normotensive patients it was 122/73 mmHg (SD 21.0/11.6). Of the 26 patients using antihypertensive medication, 25 were assessed as using the medication inappropriately. Conclusions The blood pressure for patients with previously documented hypertension who access specialist palliative care day services is commonly below the NICE target threshold. The majority of these patients are prescribed antihypertensive medications inappropriately.

Publication metadata

Author(s): Dewhurst F, Baker L, Andrew I, Todd A

Publication type: Article

Publication status: Published

Journal: International Journal of Clinical Pharmacy

Year: 2016

Volume: 38

Issue: 5

Pages: 1044-1047

Print publication date: 01/10/2016

Online publication date: 24/06/2016

Acceptance date: 26/05/2016

Date deposited: 31/01/2019

ISSN (print): 2210-7703

ISSN (electronic): 2210-7711

Publisher: Springer Netherlands


DOI: 10.1007/s11096-016-0327-0

PubMed id: 27343121


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