Cochrane · systematic review · CD011575

Blood pressure targets for hypertension in older adults

Garrison, SR, Kolber, MR, Korownyk, CS, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

HypertensionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 100%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Higher BP target (< 150‐160/95‐105 mmHg) compared with lower BP target (< 140/90 mmHg) for cardiovascular risk reduction

Population: older adults with primary hypertension
4 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Higher BP target (< 150‐160/95‐105 mmHg) vs lower BP target (< 140/90 mmHg)
RR 1.24 [0.99, 1.54]3 studies · 8221 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Stroke
Higher BP target (< 150‐160/95‐105 mmHg) vs lower BP target (< 140/90 mmHg)
RR 1.25 [0.94, 1.67]3 studies · 8221 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Cardiovascular serious adverse events
Higher BP target (< 150‐160/95‐105 mmHg) vs lower BP target (< 140/90 mmHg)
RR 1.19 [0.98, 1.45]3 studies · 8221 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Withdrawals due to adverse effects
Higher BP target (< 150‐160/95‐105 mmHg) vs lower BP target (< 140/90 mmHg)
RR 0.83 [0.58, 1.19]2 studies · 7497 participantsLow
Downgraded: risk of bias, imprecision, inconsistency