Orthostatic Hypotension and Falls in Hospitalized Older Adults
| Autor: | Barry A. Bodt, Denise Lyons, Kathleen Schell |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Poison control Blood Pressure Suicide prevention Occupational safety and health Article 03 medical and health sciences Orthostatic vital signs Hypotension Orthostatic 0302 clinical medicine Acute care Injury prevention medicine Prevalence Humans 030212 general & internal medicine General Nursing Aged Retrospective Studies 030504 nursing business.industry Human factors and ergonomics Retrospective cohort study Emergency medicine 0305 other medical science business |
| Zdroj: | Clin Nurs Res |
| ISSN: | 1552-3799 |
| Popis: | The aim of this retrospective study was to determine the prevalence of orthostatic hypotension (OH) among a convenience sample of older adults on two Acute Care of the Elderly (ACE) units of the ChristianaCare™ in Delaware. Another aim was to determine if subjects with documented OH experienced falls. Retrospective de-identified data was obtained from electronic medical records for the years 2015 to 2018. Among all patients who had valid first orthostatic vital sign (OVS) readings ( n = 7,745), 39.2% had orthostatic hypotension on the first reading. Among the patients, 42.8% were found to be hypotensive during OVS. Thirty-one (0.9%) of those with OH fell at some point during their stay. The odds ratio for falls in the presence of OH was 1.34 with a 95% confidence interval (0.82, 2.21), but a chi-square test failed to find significance ( p = .2494). The results could not determine if OVS should be mandatory in fall prevention protocols. |
| Databáze: | OpenAIRE |
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