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[Orthostatic and postprandial hypotension in elderly patients with chronic diseases and disability: prevalence and related factors].
Rev Esp Geriatr Gerontol. 2009 Jan-Feb; 44(1):12-8.RE

Abstract

INTRODUCTION

To assess the prevalence of orthostatic hypotension (OH) and postprandial hypotension (PPH) in patients admitted to an intermediate care unit, as well as to analyze the characteristics of these patients.

PATIENTS AND METHODS

Sixty patients were analyzed according to the following criteria: age >65 years, able to take food orally, stand up and/or sit down, and clinically stable. A comprehensive geriatric assessment was carried out and the main diagnosis and the presence of autonomic neuropathy symptoms (ANS) were registered. Blood pressure (BP) was registered in the morning in supine position during the first 3min of postural change (standing or sitting). OH was defined as a decrease in systolic blood pressure (SBP) of 20mm Hg or a decrease in diastolic blood pressure (DBP) of 10mmHg. BP was registered after 15min of sitting and 60min after breakfast. PPH was defined as a decrease in SBP of 20mmHg.

RESULTS

The mean age was 79.1+/-7.8 years. Nine patients (15%) had OH and 29 (48.3%) had PPH. The mean Lawton index (LI) score in patients with OH was 3.1+/-2.1 and was 5.2+/-2.6 in the remaining patients (P<.02). The mean body mass index (BMI) was 23.3+/-3.1 vs. 26.2+/-5.1 (P<.04). ANS was present in all nine patients (100%) with OH but in only 30 (58.8%) of the remaining 51 patients (chi-square=5.71; P<.03).

CONCLUSIONS

PPH was more frequent than OH. Patients with OH had a significantly lower LI score and BMI. The presence of ANS was significantly more frequent in patients with OH. There was no significant relationship between HO and PPH or among the remaining variables studied.

Links

Publisher Full Text
elsevier.es
linkinghub.elsevier.com

Authors+Show Affiliations

Villavicencio-Chávez C
Servicio Geriatría, Hospital del Mar, Hospital de la Esperanza, Centro Forum, IAGS, Barcelona, España. christian_villavicencio_chavez@yahoo.es
Miralles Basseda R
No affiliation info available
González Marín P
No affiliation info available
Cervera AM
No affiliation info available

MeSH

AgedAged, 80 and overChronic DiseaseDisabled PersonsFemaleHumansHypotensionHypotension, OrthostaticMalePostprandial PeriodPrevalence

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

19237029

Citation

Villavicencio-Chávez, Christian, et al. "[Orthostatic and Postprandial Hypotension in Elderly Patients With Chronic Diseases and Disability: Prevalence and Related Factors]." Revista Espanola De Geriatria Y Gerontologia, vol. 44, no. 1, 2009, pp. 12-8.
Villavicencio-Chávez C, Miralles Basseda R, González Marín P, et al. [Orthostatic and postprandial hypotension in elderly patients with chronic diseases and disability: prevalence and related factors]. Rev Esp Geriatr Gerontol. 2009;44(1):12-8.
Villavicencio-Chávez, C., Miralles Basseda, R., González Marín, P., & Cervera, A. M. (2009). [Orthostatic and postprandial hypotension in elderly patients with chronic diseases and disability: prevalence and related factors]. Revista Espanola De Geriatria Y Gerontologia, 44(1), 12-8. https://doi.org/10.1016/j.regg.2008.07.003
Villavicencio-Chávez C, et al. [Orthostatic and Postprandial Hypotension in Elderly Patients With Chronic Diseases and Disability: Prevalence and Related Factors]. Rev Esp Geriatr Gerontol. 2009 Jan-Feb;44(1):12-8. PubMed PMID: 19237029.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Orthostatic and postprandial hypotension in elderly patients with chronic diseases and disability: prevalence and related factors]. AU - Villavicencio-Chávez,Christian, AU - Miralles Basseda,Ramón, AU - González Marín,Pilar, AU - Cervera,Antón M, Y1 - 2009/02/01/ PY - 2008/03/17/received PY - 2008/07/14/revised PY - 2008/07/15/accepted PY - 2009/2/25/entrez PY - 2009/2/25/pubmed PY - 2009/9/25/medline SP - 12 EP - 8 JF - Revista espanola de geriatria y gerontologia JO - Rev Esp Geriatr Gerontol VL - 44 IS - 1 N2 - INTRODUCTION: To assess the prevalence of orthostatic hypotension (OH) and postprandial hypotension (PPH) in patients admitted to an intermediate care unit, as well as to analyze the characteristics of these patients. PATIENTS AND METHODS: Sixty patients were analyzed according to the following criteria: age >65 years, able to take food orally, stand up and/or sit down, and clinically stable. A comprehensive geriatric assessment was carried out and the main diagnosis and the presence of autonomic neuropathy symptoms (ANS) were registered. Blood pressure (BP) was registered in the morning in supine position during the first 3min of postural change (standing or sitting). OH was defined as a decrease in systolic blood pressure (SBP) of 20mm Hg or a decrease in diastolic blood pressure (DBP) of 10mmHg. BP was registered after 15min of sitting and 60min after breakfast. PPH was defined as a decrease in SBP of 20mmHg. RESULTS: The mean age was 79.1+/-7.8 years. Nine patients (15%) had OH and 29 (48.3%) had PPH. The mean Lawton index (LI) score in patients with OH was 3.1+/-2.1 and was 5.2+/-2.6 in the remaining patients (P<.02). The mean body mass index (BMI) was 23.3+/-3.1 vs. 26.2+/-5.1 (P<.04). ANS was present in all nine patients (100%) with OH but in only 30 (58.8%) of the remaining 51 patients (chi-square=5.71; P<.03). CONCLUSIONS: PPH was more frequent than OH. Patients with OH had a significantly lower LI score and BMI. The presence of ANS was significantly more frequent in patients with OH. There was no significant relationship between HO and PPH or among the remaining variables studied. SN - 0211-139X UR - https://www.unboundmedicine.com/medline/citation/19237029/[Orthostatic_and_postprandial_hypotension_in_elderly_patients_with_chronic_diseases_and_disability:_prevalence_and_related_factors]_ L2 - http://www.elsevier.es/en/linksolver/ft/pii/S0211-139X(08)00008-5 DB - PRIME DP - Unbound Medicine ER -