Hypertension Clinical Trial
— PARTAGEOfficial title:
Morbidity and Mortality Based on Blood Pressure and Arterial Stiffness in Institutionalized Persons Aged 80 and Over: Study PARTAGE (Predictive Values of Blood Pressure and Arterial Stiffness in Institutionalized Very Aged Population).
Verified date | July 2015 |
Source | Central Hospital, Nancy, France |
Contact | n/a |
Is FDA regulated | No |
Health authority | France: Ministry of Health |
Study type | Observational |
Introduction: High blood pressure especially systolic hypertension is a common condition in
the elderly and is considered as a major determinant not only of cardiovascular (CV)
morbidity and mortality, but also of several other age-related diseases, frailty and loss of
autonomy. Actually, the association between BP levels and morbidity and mortality in the
very elderly persons with several co-morbidities remains a controversial issue
Objectives: The aim of the PARTAGE study (Predictive values of blood pressure and arterial
stiffness in institutionalized very aged population)is to determine the predictive value of
blood pressure (BP) and arterial stiffness for overall mortality, major cardiovascular
events and cognitive decline in a large population of institutionalized subjects aged 80 and
over.
Methods: The population is composed of 1130 subjects aged over 80, living in nursing home,
included by four french university hospitals centre (Nancy, Dijon, Paris, Toulouse) and two
Italian (Cesena, Verona). Subjects with severe dementia and a very low level of autonomy are
excluded from the study During the first visit, blood pressure were measured using an
automatic monitor by physician in sitting and standing position (clinical BP and Orthostatic
BP) and by a self measurement of blood pressure 3 measurements, in the morning and the
evening, during 3 consecutive days).
Arterial stiffness is evaluated by measuring the carotid-femoral and carotid-radial pulse
wave velocity (PWV) with the PulsePen® automatic device. Deaths and cardiovascular events
are recorded during a follow-up of 2 years.
The hypothesis of the PARTAGE longitudinal study is that in very elderly frail individuals
with multiple co-morbidities, CV risk could be better evaluated by combining
self-measurements of BP and direct evaluation of arterial stiffness which are less
influenced by the above mentioned disease and co-morbidities.
Status | Completed |
Enrollment | 1130 |
Est. completion date | December 2013 |
Est. primary completion date | December 2013 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 80 Years and older |
Eligibility |
Inclusion Criteria: - women and men aged 80 year old and over - living in nursing home - who signed the informed consent. Exclusion Criteria: - severe dementia (Mini Mental Status Examination: MMSE<12) - a low level of autonomy (Activity of daily living: ADL=2) - under guardianship or "a measure of legal protection". |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
France | University hospital of Dijon (Centre de Champmaillot) | Dijon | |
France | Hôpital Broca | Paris | |
France | Hôpital La Grave | Toulouse | |
France | University hospital of Nancy | Vandoeuvre-les-Nancy | |
Italy | Hospital of Cesena | Cesena | |
Italy | Civil hospital Maggiore (Geriatrics) | Verona |
Lead Sponsor | Collaborator |
---|---|
Central Hospital, Nancy, France | Boehringer Ingelheim, French Cardiology Society, Ministry of Health, France |
France, Italy,
Alecu C, Labat C, Kearney-Schwartz A, Fay R, Salvi P, Joly L, Lacolley P, Vespignani H, Benetos A. Reference values of aortic pulse wave velocity in the elderly. J Hypertens. 2008 Nov;26(11):2207-12. doi: 10.1097/HJH.0b013e32830e4932. — View Citation
Askari M, Kiely DK, Lipsitz LA. Is pulse pressure a predictor of cardiovascular complications in a frail elderly nursing home population? Aging Clin Exp Res. 2004 Jun;16(3):206-11. — View Citation
Beckett NS, Peters R, Fletcher AE, Staessen JA, Liu L, Dumitrascu D, Stoyanovsky V, Antikainen RL, Nikitin Y, Anderson C, Belhani A, Forette F, Rajkumar C, Thijs L, Banya W, Bulpitt CJ; HYVET Study Group. Treatment of hypertension in patients 80 years of age or older. N Engl J Med. 2008 May 1;358(18):1887-98. doi: 10.1056/NEJMoa0801369. Epub 2008 Mar 31. — View Citation
Benetos A, Adamopoulos C, Bureau JM, Temmar M, Labat C, Bean K, Thomas F, Pannier B, Asmar R, Zureik M, Safar M, Guize L. Determinants of accelerated progression of arterial stiffness in normotensive subjects and in treated hypertensive subjects over a 6-year period. Circulation. 2002 Mar 12;105(10):1202-7. — View Citation
Boshuizen HC, Izaks GJ, van Buuren S, Ligthart GJ. Blood pressure and mortality in elderly people aged 85 and older: community based study. BMJ. 1998 Jun 13;316(7147):1780-4. — View Citation
Meaume S, Benetos A, Henry OF, Rudnichi A, Safar ME. Aortic pulse wave velocity predicts cardiovascular mortality in subjects >70 years of age. Arterioscler Thromb Vasc Biol. 2001 Dec;21(12):2046-50. — View Citation
Salvi P, Lio G, Labat C, Ricci E, Pannier B, Benetos A. Validation of a new non-invasive portable tonometer for determining arterial pressure wave and pulse wave velocity: the PulsePen device. J Hypertens. 2004 Dec;22(12):2285-93. — View Citation
Satish S, Zhang DD, Goodwin JS. Clinical significance of falling blood pressure among older adults. J Clin Epidemiol. 2001 Sep;54(9):961-7. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Total Mortality | 2 years Follow-up | No | |
Secondary | Cardiovascular morbidity Cognitive decline | 2 years follow-up | No |
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