Resumen

CRUZ BETANCOURT, Anna et al. Morbidity and Mortality Related with Hypertensive Crises in Elderly. ccm [online]. 2015, vol.19, n.4, pp.656-667. ISSN 1560-4381.

Introduction: hypertension is a public health problem because of its high morbidity and mortality. Objective: to describe the morbidity and mortality associated with hypertensive crisis in elderly. Method: a cross-sectional study in the Emergency Services of polyclinics of Cacocum Municipality during 2013-2014 was done. The universe was composed of 2 361 patients with hypertensive crisis and the sample 1 466 elderly patients (people ≥ 60 years). Variables such as: age, sex, classifications of hypertensive crisis, risk factors and associated diseases, most common complications and evolution in the emergency service were used. Results: 62.82% of the treated patients were women, and those between 60-70 years of age predominated in both sexes (54.77%). Hypertensive emergencies were the main cause of health care with 87.38%. Smoking (43.24%), obesity (31.65%) and heart disease (12.28%) were the most frequently risk factors associated. 87.38% of patients were discharged successfully without complications, 12.27% of them were referred to secondary care and five patients died for 0.34%. Conclusions:  hypertensive emergencies are a main cause of health care in primary care. The uncontrolled risk factors influence in causing complications of morbidity and mortality in elderly. The emergency care systems at the primary care in Cacocum municipality solve the most hypertensive crisis.

Palabras clave : hypertension; elderly; hypertensive emergencies; risk factors.

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