Evidence map›Paper›PMID 30932129›Full record

Observational studyThe journal of nutrition, health & aging2019

Association between Orthostatic Hypotension and Frailty in Hospitalized Older Patients: a Geriatric Syndrome More Than a Cardiovascular Condition.

L Chen, Y Xu, X-J Chen, W-J Lee, L-K Chen

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The journal of nutrition, health & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Looking for Trouble: Identifying and Treating Hypotension.P & T : a peer-reviewed journal for formulary management · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

L ChenDr. Wei-Ju Lee. Department of Geriatric Medecine, School of Medicine, National Yang-Ming University. No. 155, Sec. 2, Linong St., Beitou Dist., Taipei City 112, Taiwan. Tel: +886-2-28239014, Fax: +886-2-28211451. Email: leewju@gmail.com.
Y Xu
X-J Chen
W-J Lee
L-K Chen
Zhejiang Hospital · CNNational Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the association between orthostatic hypotension (OH) and frailty for hospitalized older patients and their vulnerable subgroups.

designA prospective, observational cross-sectional study.

participants693 older patients admitted to a geriatric evaluation and management unit. MEASUREMENTS: Barthel Index, Lawton's instrumental activities of daily living, clinical frailty scale, mini-mental state examination, geriatric depression scale, mini-nutritional assessment, and polypharmacy.

resultsOverall, the prevalence of OH and frailty was 26% and 36%, respectively. Subjects with OH were older, thinner, more commonly to have weakness, slowness, poorer physical function and higher levels of frailty. The prevalence of OH was substantially increased as higher levels of CFS (p for trend <0.001). Multivariate logistic regression showed significant association between OH and frailty (OR: 1.8, 95% CI: 1.2-2.7), but the association attenuated after adjustment for physical function. (OR: 1.4, 95% CI: 0.7-2.6). Nevertheless, associations between OH and frailty remained significant among vulnerable subgroups like women, subjects having weakness, slowness, poor cognitive function, polypharmacy or any IADL limitation.

conclusionsOH in hospitalized older patients was associated with frailty and multiple complex care needs, especially in the vulnerable subgroups. Further study is needed to clarify the roles of OH in clinical practice.

Indexed as

Frail ElderlyActivities of Daily LivingAgedAged, 80 and overCognitionCross-Sectional StudiesFemaleFrailtyGeriatric AssessmentHospitalizationHumansHypotension, OrthostaticLogistic ModelsMaleNutrition AssessmentPolypharmacycomprehensive geriatric assessmentFrailtyolder adultsorthostatic hypotension

Identifiers

PMID30932129
PMCPMC12280374
OpenAlexW2920141698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.