Orthostatic Hypotension in the Elderly: A Marker of Clinical Frailty?
| Autor: | Francesco Curcio, Gianluca Testa, David Della-Morte, Domenico Bonaduce, Vincenzo Coscia, Luisa Aran, Pasquale Abete, Francesco Cacciatore, Gennaro Russo, Gaetano Gargiulo, Ilaria Liguori, Giulia Bulli |
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| Přispěvatelé: | Liguori, I, Russo, G, Coscia, V, Aran, L, Bulli, G, Curcio, F, Della-Morte, D, Gargiulo, G, Testa, G, Cacciatore, F, Bonaduce, D, Abete, P |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Frail Elderly Frail Older Adults Orthostatic Frailty Index Settore MED/09 frailty 030204 cardiovascular system & hematology 03 medical and health sciences Orthostatic vital signs Hypotension Orthostatic 0302 clinical medicine Internal medicine Heart rate medicine 80 and over Prevalence Humans 030212 general & internal medicine Prospective Studies Orthostatic hypotension disability hospitalization mortality Aged Aged 80 and over Female Geriatric Assessment Hospitalization Mortality Proportional Hazards Models General Nursing Nursing (all)2901 Nursing (miscellaneous) High prevalence business.industry Health Policy General Medicine Blood pressure Observational study Geriatrics and Gerontology Hypotension business |
| Zdroj: | Journal of the American Medical Directors Association. 19(9) |
| ISSN: | 1538-9375 |
| Popis: | BACKGROUND: Orthostatic hypotension (OH) has high prevalence in frail older adults. However, its effect on mortality, disability, and hospitalization in frail older adults is poorly investigated. Thus, we assessed the relationship between the prevalence of OH and its effect on mortality, disability, and hospitalization in noninstitutionalized older adults stratified by frailty degree. METHODS: Prospective, observational study of 510 older participants (≥65 years of age) consecutively admitted to a geriatric evaluation unit to perform a geriatric comprehensive assessment. MEASUREMENTS: Clinical frailty was assessed using the Italian frailty index (40 items). Systolic blood pressure (mm Hg), diastolic blood pressure (mm Hg), and heart rate (bpm) were evaluated in clinostatic position and after 1, 3, and 5 minutes of orthostatic position. OH was defined with a decrease of 20 mm Hg in systolic blood pressure and/or a decrease of 10 mm Hg in diastolic blood pressure. RESULTS: OH prevalence was 22%, and it increased from 9.0% to 66.0% according to frailty degree (P for trend |
| Databáze: | OpenAIRE |
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