ArticleThe journal of nutrition, health & aging2019
Health and Functional Determinants of Orthostatic Hypotension in Geriatric Ward Patients: A Retrospective Cross Sectional Cohort Study.
Article 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 12 papers.
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12 citing papers in PubMed, 20 citations in OpenAlex.
- Effects of Daily Lifestyle Habits on Non-Neurogenic Orthostatic Hypotension in Older Adults in South Korea: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Orthostatic hypotension is associated with malnutrition diagnosed by GLIM in elderly hypertensive patients.BMC geriatrics · 2022Article
- Falls at the Geriatric Hospital Ward in the Context of Risk Factors of Falling Detected in a Comprehensive Geriatric Assessment.International journal of environmental research and public health · 2022Article
- A Newly Defined CHAJournal of clinical medicine · 2022Article
- Atrial fibrillation is a predictor of nonobstructive coronary artery disease in elective angiography in old age: a cross-sectional study in Poland and Russia.Aging clinical and experimental research · 2022Article
- Evaluation of Patients with Syncope in the Emergency Department: How to Adjust Pharmacological Therapy.Medicina (Kaunas, Lithuania) · 2021Review
- Drug-Related Orthostatic Hypotension: Beyond Anti-Hypertensive Medications.Drugs & aging · 2020Review
- Health, Functional and Nutritional Determinants of Falls Experienced in the Previous Year-A Cross-Sectional Study in a Geriatric Ward.International journal of environmental research and public health · 2020Article
- What Serum Sodium Concentration Is Suggestive for Underhydration in Geriatric Patients?Nutrients · 2020Article
- Impending Low Intake Dehydration at Admission to A Geriatric Ward- Prevalence and Correlates in a Cross-Sectional Study.Nutrients · 2020Article
- Type 2 Diabetes Correlates with Comorbidity and Nutritional Status but Not with Functional Health in Geriatric Ward Patients: A Cross-Sectional Study in Poland.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020Article
- Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland.Clinical interventions in aging · 2020Article
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Authors and funding
3 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveOrthostatic hypotension (OH) is a common problem in older people. Although it is indicated that OH can be a marker of frailty there are no studies that evaluate this relationship in hospitalized patients. The aim of the study was to assess the prevalence of OH in geriatric ward patients and its association with health and functional ability characteristics and patients' frailty status. DESIGN AND
settingA retrospective cross-sectional cohort study was conducted among patients aged 60 or over hospitalized in the geriatric ward.
participantsPatients' medical records were analyzed and those with Active Standing Test (AST) results were included in the study. MEASUREMENTS: Orthostatic hypotension was defined by a drop in blood pressure of at least 20mmHg for systolic blood pressure and at least 10mmHg for diastolic blood pressure within 3minutes of standing up in AST. The database included sociodemographic characteristics, nutritional, functional and cognitive state, comorbidity and medical treatment. Frailty syndrome was diagnosed with Clinical Frailty Scale. Correlations with OH were counted and multivariable logistic regression models were built.
results416 patients were hospitalized in the study period and 353 (84.9%) were included, 78 (22.1%) men and 298 (84.4%) 75+ year-old. AST was not available in patients significantly more dependent in ADL and more frail. OH was diagnosed in 57 (16.2%) patients, significantly more frequently in men (systolic- 45,5%, systolic-diastolic- 40,0%). The significant independent predictors of OH were lower diastolic blood pressure at admittance, nutritional risk in MNA-SF, Parkinson disease, α1-blockers, neuroleptics and memantine, and not the frailty syndrome diagnosed with Clinical Frailty Scale.
conclusionsOH affects a significant percentage of patients in the geriatric ward, although this problem may be underestimated due to limitations in the performance of AST in very frail and functionally dependent patients.
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