<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1699-695X</journal-id>
<journal-title><![CDATA[Revista Clínica de Medicina de Familia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Clin Med Fam]]></abbrev-journal-title>
<issn>1699-695X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Medicina de Familia y Comunitaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-695X2023000100004</article-id>
<article-id pub-id-type="doi">10.55783/rcmf.160104</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto del control de la tensión arterial sobre la morbimortalidad en pacientes hipertensos mayores de 65 años, en el ámbito comunitario]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of blood pressure monitoring on morbidity and mortality in hypertensive patients aged 65 years and over in the community setting]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abadía-Cascajero]]></surname>
<given-names><![CDATA[Marta Ángela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso-Safont]]></surname>
<given-names><![CDATA[Tamara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martín-Fernández]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A5 "/>
<xref ref-type="aff" rid="Af6"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Rey Juan Carlos Facultad de Ciencias de la Salud Departamento de Especialidades Médicas y Salud Pública]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicio Madrileño de Salud Gerencia Asistencial de Atención Primaria Dirección Técnica de Sistemas de Información]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Rey Juan Carlos Programa de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Servicio Madrileño de Salud Gerencia Asistencial Atención Primaria Unidad Docente Multiprofesional de Atención Familiar y Comunitaria Oeste]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Investigación Sanitaria Gregorio Marañón  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto de Salud Carlos III Red de Investigación en Servicios de Salud en Enfermedades Crónicas ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Instituto de Salud Carlos III Atención Primaria y Promoción de la Salud-RICAPPS Red de Investigación en Cronicidad]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>16</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-695X2023000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-695X2023000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-695X2023000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: evaluar el impacto del control de la tensión arterial (TA) sobre la morbimortalidad en &gt;65 años, sin patología cardiovascular previa, en el ámbito comunitario.  Métodos: estudio de cohortes retrospectivas. Se incluyeron todos los pacientes (&#8805; 65 años) con diagnóstico de hipertensión arterial (HTA) (01/01/2007-31/12/2008), sin eventos cardiovasculares previos de los centros de salud de la Comunidad de Madrid, con al menos dos registros de TA el primer año de seguimiento (n = 17.150). Se evaluaron la aparición de eventos cardiovasculares (incluida mortalidad cardiovascular) y la mortalidad total, mediante regresión de Cox.  Resultados: la mediana de seguimiento para mortalidad fue de 129,58 meses (rango intercuartil [RIC]: 120,41-136,94 meses). Se produjeron 8.641 eventos cardiovasculares y 4.073 muertes por cualquier causa. Ajustado por género, grado de hipertensión, tabaquismo, diabetes e hipercolesterolemia, el buen control (TA &lt; 140/90 mmHg) no se asociaba con una disminución de eventos cardiovasculares, pero sí con una disminución de mortalidad del 14,41% (hazard ratio [HR] 0,8559; intervalo de confianza [IC] 95%: 0,7776-0,9421%) entre 75 y 84 años. Cuando se utilizan las cifras de 130/80 mmHg para definir el buen control, este se asociaba con un exceso de mortalidad del 43,58% (IC 95%: 19,60-72,36%) entre 65 y 74 años y del 61,22% (IC 95%: 22,99-111,35%) en sujetos de 85 y más años.  Conclusión: el control de la TA en sujetos &gt;65 años se asocia con una disminución ligera de la mortalidad entre 75 y 84 años. Cifras de control más estrictas se relacionan con mayor ocurrencia de evento cardiovascular y de mortalidad, especialmente en el grupo de mayor edad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: to assess the impact of blood pressure (BP) control on morbidity and mortality in over 65-year-olds, without previous cardiovascular pathology, in a community setting.  Methods: retrospective cohort study. All patients (&#8805;65 years) with a diagnosis of HT (01/01/2007-31/12/2008), without previous cardiovascular events (CVD), with at least two BP recordings in the first year of follow-up) from every health centres in the Community of Madrid were included (n = 17,150). The occurrence of CVD (including CV mortality) and total mortality were assessed using Cox regression.  Results: the median follow-up for mortality was 129.58 months (IQR: 120.41-136.94 months). There were 8,641 CVDs and 4,073 deaths from any cause. Adjusted for gender, hypertension severity, smoking, diabetes, and hypercholesterolemia, good control (BP &lt; 140/90 mmHg) was not associated with a decrease in CVD, but was associated with a 14.41% decrease in mortality (HR 0.8559, 95% CI: 0.7776- 0.9421) between 75 and 84 years. When threshold of 130/80 mmHg is used to define good control, this was associated with an excess mortality of 43.58% (95% CI 19.60-72.36%) between 65 and 74 years and 61.22% (95% CI 22.99-111.35%) in subjects aged 85 and over.  Conclusion: BP control in people over 65 years of age is associated with a slight decrease in mortality between 75 and 84 years of age. Tighter control figures are associated with a higher incidence of CVD and mortality, especially in the older age group.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[indicadores de morbimortalidad]]></kwd>
<kwd lng="es"><![CDATA[Atención Primaria de Salud]]></kwd>
<kwd lng="es"><![CDATA[salud de la persona anciana]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Indicators of Morbidity and Mortality]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
<kwd lng="en"><![CDATA[Health of the Elderly]]></kwd>
</kwd-group>
</article-meta>
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