View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
WEDNESDAY, Jan. 11 (HealthDay News) -- For middle-aged patients with newly-diagnosed type 2 diabetes, the impact of a delay in controlling systolic blood pressure depends on the length of the delay, according to a study published online Jan. 4 in the Journal of General Internal Medicine.
Neda Laiteerapong, M.D., from the University of Chicago, and colleagues investigated the harms associated with delays in controlling systolic blood pressure in patients with newly-diagnosed type 2 diabetes. A decision analysis was performed using diabetes complication equations for a hypothetical population of adults aged 50 to 59 years with newly-diagnosed diabetes. Outcome measures included lifetime complication rates, average life expectancy, and quality-adjusted life expectancy (QALE).
The investigators found that a lifetime of uncontrolled blood pressure increased complications by 1,855 events per 10,000 patients and reduced QALE by 332 days, compared with a lifetime of controlled blood pressure. For a one-year delay in controlling blood pressure, there was an increase of 14 complication events per 10,000 patients and a two-day decrease in QALE. For a 10-year delay in controlling blood pressure, there was an increase of 428 complication events per 10,000 patients and a 145-day decrease in QALE. For a 20-year delay, QALE decreased by 477 and 142 days when the baseline blood pressure was 160 and 140 mmHg, respectively.
"The harms of delays in controlling systolic blood pressure depend on the duration of the delays in middle-aged adults with newly-diagnosed and prevalent type 2 diabetes," the authors write.
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top