{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T07:16:00Z","timestamp":1784272560229,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["T35 HL120835"],"award-info":[{"award-number":["T35 HL120835"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Therapeutic inertia (TI), or failure to escalate or initiate BP lowering medications when BP is uncontrolled, increases with advancing age and may in part be due to perceived fall risk. This study examined the association of a fall risk assessment, based on patient response to three questions administered by trained staff, with uncontrolled BP (\u2265140\/90\u00a0mmHg) during a clinic visit and with TI during clinic visits with uncontrolled BP among 13\u00a0893 patients age \u2265\u00a065 years corresponding to 41\u00a0122 primary care visits. Separate generalized linear mixed effects models were used to examine the association of fall risk (low, moderate, and high) with uncontrolled BP and with TI at a clinic visit after adjustment for demographics, comorbidities, and total number of visits. Baseline mean age was 73.0 years (standard deviation [SD] 5.6), 43.3% were men and questionnaire\u2010assessed fall risk severity was low in 73.6%, moderate in 14.3%, and high in 12.2%. Compared to low fall risk, the adjusted odds of uncontrolled BP during a clinic visit were 0.97 (95% CI: 0.89, 1.06) and 0.90 (95% CI: 0.82, 0.98) with moderate and high fall risk, respectively. In contrast, adjusted odds of TI during a clinic visit with BP \u2265\u00a0140\/90\u00a0mmHg was 1.16 (95% CI: 1.01, 1.34) and 1.30 (95% CI: 1.11, 1.52) with moderate and high fall risk, respectively, compared to low fall risk. These findings suggest that perceived fall risk severity may be one of several factors that influence hypertension management in older adults.<\/jats:p>","DOI":"10.1111\/jch.14933","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:23:09Z","timestamp":1730812989000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of Questionnaire\u2010Assessed Fall Risk With Uncontrolled Blood Pressure and Therapeutic Inertia Among Older Adults"],"prefix":"10.1111","volume":"27","author":[{"given":"Grant T.","family":"Hiura","sequence":"first","affiliation":[{"name":"Stritch School of Medicine Loyola University Chicago  Maywood Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talar W.","family":"Markossian","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Loyola University Chicago  Maywood Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice D.","family":"Probst","sequence":"additional","affiliation":[{"name":"Stritch School of Medicine Loyola University Chicago  Maywood Illinois USA"},{"name":"Department of Emergency Medicine Loyola University Chicago  Maywood Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Habicht","sequence":"additional","affiliation":[{"name":"Loyola Physician Partners Loyola University Chicago  Maywood Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6374-837X","authenticated-orcid":false,"given":"Holly J.","family":"Kramer","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Loyola University Chicago  Maywood Illinois USA"},{"name":"Department of Medicine Loyola University Chicago  Maywood Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2012.05.005"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.12.076"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001123"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.122.19222"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000002783"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/AMEP.S59022"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000011121"},{"key":"e_1_2_10_9_1","volume-title":"The Surgeon's Call to Action to Control Hypertension","author":"U.S. Department of Health and Human Services","year":"2020"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.14764"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/2013.jamainternmed.469"},{"key":"e_1_2_10_12_1","unstructured":"Centers for Disease Control and Prevention.Older Adults Falls Data accessed September 28 2023 https:\/\/www.cdc.gov\/falls\/data."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6927a5"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511939"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.116.09390"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/HCQ.0000000000000108"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004188"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e32833b4953"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000002830"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.123.21323"},{"key":"e_1_2_10_21_1","unstructured":"Centers for Disease Control and Prevention. National Center for Injury Prevention and Control.Algorithm for Falls Risk Screening Assessment and Intervention accessed April 15 2024 https:\/\/www.cdc.gov\/steadi\/pdf\/STEADI\u2010Algorithm\u2010508.pdf."},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000087"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.11.006"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.123.031574"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq071"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-2961-3"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15732"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpad108"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0433-8"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.118.11558"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c3995"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpab182"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7176.2011.00542.x"},{"issue":"2","key":"e_1_2_10_34_1","first-page":"430","article-title":"Fall Risk Assessment Scales: A Systematic Literature Review","volume":"11","author":"Strini V.","year":"2021","journal-title":"Nurse Representative"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2014.11.004"}],"container-title":["The Journal of Clinical Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.14933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T07:37:09Z","timestamp":1744270629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jch.14933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,5]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/jch.14933"],"URL":"https:\/\/doi.org\/10.1111\/jch.14933","archive":["Portico"],"relation":{},"ISSN":["1524-6175","1751-7176"],"issn-type":[{"value":"1524-6175","type":"print"},{"value":"1751-7176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,5]]},"assertion":[{"value":"2024-06-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14933"}}