{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T15:58:56Z","timestamp":1700582336170},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2009,8,28]],"date-time":"2009-08-28T00:00:00Z","timestamp":1251417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacoepidemiology and Drug"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of the present study was to determine which patient\u2010related characteristics influence the selection of the antihypertensive drug class in elderly patients in Slovakia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sample for our study (<jats:italic>n<\/jats:italic>\u2009=\u2009401) was selected from 1045 patients admitted to the Department of Internal Medicine of a general hospital during the period of 1 December 2003\u201431 March 2005. Patients aged 65 or more with documented arterial hypertension and treated with at least one antihypertensive drug were enrolled in our retrospective study. Specific socio\u2010demographic and clinical characteristics as well as cardiovascular comorbid conditions were evaluated as potential factors that could have influenced the choice of antihypertensive drug class.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most frequently prescribed antihypertensive drugs were angiotensin\u2010converting enzyme (ACE) inhibitors and diuretics (61.8% and 60.1% of patients, respectively). Patients aged\u2009\u2265\u200985 years had lower probability of ACE inhibitors prescription (OR\u2009=\u20090.49). Females had higher chance of calcium channel blockers use (OR\u2009=\u20093.84) and lower odds of diuretics administration (OR\u2009=\u20090.50). In patients living alone, ACE inhibitors were preferred (OR\u2009=\u20092.16). The use of diuretics was more frequent in polymorbid patients (OR\u2009=\u20091.95). Immobile patients had lower chance of being prescribed beta\u2010blockers and calcium channel blockers (OR\u2009=\u20090.25 and OR\u2009=\u20090.39, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The present study revealed that the selection of the antihypertensive drug class in elderly patients is influenced not only by comorbid conditions present but also by socio\u2010demographic and clinical characteristics, such as age, sex, living alone, polymorbidity and immobilization. These characteristics reflect the doctor's perception of risk from pharmacotherapy of hypertension in elderly patients. 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