ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023
Incidence of postural hypotension recorded in UK general practice: an electronic health records study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Control, Fludrocortisone or Midodrine for the treatment of Orthostatic Hypotension: CONFORM-OH pilot RCT and economic evaluation.Health technology assessment (Winchester, England) · 2025Trial
- Understanding measurement of postural hypotension: a nationwide survey of general practice in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Putative sympathetic-predominant subtype in body-first Parkinson's disease is associated with accelerated cognitive decline.Frontiers in aging neuroscience · 2026Article
- Drug-Induced Orthostatic Hypotension in UK Primary Care: A Self-Controlled Case Series Study.Clinical epidemiology · 2026Article
- Practitioners' views on the measurement and management of postural hypotension in general practice: a qualitative inquiry.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Control, Fludrocortisone or Midodrine for the treatment of Orthostatic Hypotension (CONFORM-OH): results from an internal pilot randomised controlled trial.Pilot and feasibility studies · 2025Article
- Article
- How to measure blood pressure: focus on general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Hypertension and hypotension: getting the balance right.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostural hypotension is a common condition associated with adverse outcomes in older adults. General practice plays an important role in identification of the condition.
aimTo examine the incidence of postural hypotension between 2008 and 2018 in general practice and how trends vary by age, sex, year, and social deprivation. DESIGN AND
settingRetrospective cohort study using electronic health records from the IQVIA Medical Research Data (IMRD) between 2008 and 2018.
methodPatients were included if they were aged ≥50 years. Incident postural hypotension was identified as a new (first) recording of a postural hypotension code. Recording of incident postural hypotension was estimated per 10 000 person-years at risk (PYAR) according to age, sex, year, and social deprivation. Incident rate ratios were estimated by multivariable Poisson regression.
resultsOf 2 911 260 patients, 24 973 had an electronic record indicating a new diagnosis of postural hypotension between 2008 and 2018. This was equivalent to 17.9 cases per 10 000 PYAR in males (95% confidence interval [CI] = 17.6 to 18.2) and 16.2 cases per 10 000 PYAR in females (95% CI = 15.9 to 16.5). A significant age-sex interaction was identified. Recorded postural hypotension rate increased with age and social deprivation, and reduced between 2008 and 2018. The rate was higher in males compared with females, particularly in older age groups (>80 years).
conclusionTo the authors' knowledge, this is the first study to quantify incident recorded postural hypotension in general practice. The rate is lower than expected compared with studies in screened older populations. Potential barriers to identification include underreporting, underdetection owing to lack of time and/or poorly standardised methods of measurement, and poor coding. Future research should investigate current practice and approaches for increased detection such as education, practical methods of screening, and standardised measurement of postural blood pressure.
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