Mellanie V. Springer, Yi Chen, Slim Benloucif, Francine Grodstein, Bryan D. James, Ana W. Capuano, Mousumi Banerjee, Julie P. W. Bynum
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The degree to which older adults with hypertension and MCI engage in outpatient ambulatory care for hypertension management is unclear.</p>\n </section>\n \n <section>\n \n <h3> METHODS</h3>\n \n <p>Among older adults with hypertension in the Rush Alzheimer's Disease Center (RADC) cohorts (2011 to 2019), we used repeated measures negative binomial regression to evaluate the association between cognitive status (MCI vs no cognitive impairment [NCI]) and number of annual outpatient clinic visits for hypertension evaluation and management (E&M) (primary outcome).</p>\n </section>\n \n <section>\n \n <h3> RESULTS</h3>\n \n <p>MCI (<i>n</i> = 1013 person-years) was associated with 8% fewer outpatient visits for hypertension versus older adults with NCI (<i>n</i> = 4373 person-years) (relative incidence ratio [RIR] 0.92, <i>p</i> < 0.01).</p>\n </section>\n \n <section>\n \n <h3> DISCUSSION</h3>\n \n <p>Despite the known adverse cognitive effects of hypertension, older adults with MCI may be less likely to engage in outpatient hypertension management.</p>\n </section>\n \n <section>\n \n <h3> Highlights</h3>\n \n <div>\n <ul>\n \n <li>Fewer outpatient hypertension visits among adults with MCI versus NCI.</li>\n \n <li>Fewer primary care hypertension visits among adults with MCI versus without MCI.</li>\n \n <li>Need for interventions to engage adults with hypertension and MCI in outpatient care.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":7471,"journal":{"name":"Alzheimer's & Dementia","volume":"21 10","pages":""},"PeriodicalIF":11.1000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://alz-journals.onlinelibrary.wiley.com/doi/epdf/10.1002/alz.70743","citationCount":"0","resultStr":"{\"title\":\"The association of mild cognitive impairment with outpatient visits for hypertension\",\"authors\":\"Mellanie V. 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The association of mild cognitive impairment with outpatient visits for hypertension
INTRODUCTION
Hypertension management is critically important to reduce the risk of conversion of mild cognitive impairment (MCI) to dementia. The degree to which older adults with hypertension and MCI engage in outpatient ambulatory care for hypertension management is unclear.
METHODS
Among older adults with hypertension in the Rush Alzheimer's Disease Center (RADC) cohorts (2011 to 2019), we used repeated measures negative binomial regression to evaluate the association between cognitive status (MCI vs no cognitive impairment [NCI]) and number of annual outpatient clinic visits for hypertension evaluation and management (E&M) (primary outcome).
RESULTS
MCI (n = 1013 person-years) was associated with 8% fewer outpatient visits for hypertension versus older adults with NCI (n = 4373 person-years) (relative incidence ratio [RIR] 0.92, p < 0.01).
DISCUSSION
Despite the known adverse cognitive effects of hypertension, older adults with MCI may be less likely to engage in outpatient hypertension management.
Highlights
Fewer outpatient hypertension visits among adults with MCI versus NCI.
Fewer primary care hypertension visits among adults with MCI versus without MCI.
Need for interventions to engage adults with hypertension and MCI in outpatient care.
期刊介绍：
Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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