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Orthostatic hypotension and associated conditions in geriatric inpatients

(2015) ACTA CLINICA BELGICA. 70(4). p.251-258
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Abstract
Screening of orthostatic hypotension (OH) was performed in 285 patients aged 75 years. Current drugs, reasons for admission, geriatric syndromes, and confounding medical conditions were collected. Patients with OH (n=116, 41%) as compared to those without OH (n=169) more frequently (P<0.01) presented falls in the last 6 months (62 vs. 40%, P<0.001), a fall as the reason for the current admission (49 vs. 26%, P<0.001), feeling of fainting (20 vs. 6%, P=0.002), syncope (29 vs. 4%, P<0.001) or functional decline (71 vs. 47%, P=0.012). No difference was observed between the two groups in terms of age (85 +/- 5 vs. 84 +/- 4 years), gender (59 vs. 50% female), common geriatric conditions (e.g. malnutrition 46 vs. 58%, dementia 22 vs. 26%), comorbidity or confounding conditions (dehydration 28 vs. 30%, sepsis 2 vs. 6%). No difference was detected in the use of drugs with psychotropic cardiovascular or diuretic effect, or in their associations. Orthostatic hypotension is frequent upon hospital admission and should be screened, particularly in geriatric fallers. This absence of relation between OH and drugs use suggests that non-pharmacological interventions should be first attempted in older inpatients with OH before deciding to reduce or withdraw useful drugs.
Keywords
Geriatrics, Inappropriate prescription, Orthostatic hypotension, Drugs, NURSING-HOME RESIDENTS, BLOOD-PRESSURE, CONSENSUS STATEMENT, ELDERLY-PEOPLE, MEDICATION USE, RISK-FACTORS, FALLS, PREVALENCE, FAILURE, HYPERTENSION

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Citation

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MLA
Jodaitis, Lise et al. “Orthostatic Hypotension and Associated Conditions in Geriatric Inpatients.” ACTA CLINICA BELGICA 70.4 (2015): 251–258. Print.
APA
Jodaitis, L., Vaillant, F., Snacken, M., Boland, B., Spinewine, A., Dalleur, O., Gilles, C., et al. (2015). Orthostatic hypotension and associated conditions in geriatric inpatients. ACTA CLINICA BELGICA, 70(4), 251–258.
Chicago author-date
Jodaitis, Lise, Fanny Vaillant, Morgane Snacken, Benoit Boland, Anne Spinewine, Olivia Dalleur, Christian Gilles, Mirko Petrovic, and Thierry Pepersack. 2015. “Orthostatic Hypotension and Associated Conditions in Geriatric Inpatients.” Acta Clinica Belgica 70 (4): 251–258.
Chicago author-date (all authors)
Jodaitis, Lise, Fanny Vaillant, Morgane Snacken, Benoit Boland, Anne Spinewine, Olivia Dalleur, Christian Gilles, Mirko Petrovic, and Thierry Pepersack. 2015. “Orthostatic Hypotension and Associated Conditions in Geriatric Inpatients.” Acta Clinica Belgica 70 (4): 251–258.
Vancouver
1.
Jodaitis L, Vaillant F, Snacken M, Boland B, Spinewine A, Dalleur O, et al. Orthostatic hypotension and associated conditions in geriatric inpatients. ACTA CLINICA BELGICA. 2015;70(4):251–8.
IEEE
[1]
L. Jodaitis et al., “Orthostatic hypotension and associated conditions in geriatric inpatients,” ACTA CLINICA BELGICA, vol. 70, no. 4, pp. 251–258, 2015.
@article{6863038,
  abstract     = {Screening of orthostatic hypotension (OH) was performed in 285 patients aged 75 years. Current drugs, reasons for admission, geriatric syndromes, and confounding medical conditions were collected. Patients with OH (n=116, 41%) as compared to those without OH (n=169) more frequently (P<0.01) presented falls in the last 6 months (62 vs. 40%, P<0.001), a fall as the reason for the current admission (49 vs. 26%, P<0.001), feeling of fainting (20 vs. 6%, P=0.002), syncope (29 vs. 4%, P<0.001) or functional decline (71 vs. 47%, P=0.012). No difference was observed between the two groups in terms of age (85 +/- 5 vs. 84 +/- 4 years), gender (59 vs. 50% female), common geriatric conditions (e.g. malnutrition 46 vs. 58%, dementia 22 vs. 26%), comorbidity or confounding conditions (dehydration 28 vs. 30%, sepsis 2 vs. 6%). No difference was detected in the use of drugs with psychotropic cardiovascular or diuretic effect, or in their associations. Orthostatic hypotension is frequent upon hospital admission and should be screened, particularly in geriatric fallers. This absence of relation between OH and drugs use suggests that non-pharmacological interventions should be first attempted in older inpatients with OH before deciding to reduce or withdraw useful drugs.},
  author       = {Jodaitis, Lise and Vaillant, Fanny and Snacken, Morgane and Boland, Benoit  and Spinewine, Anne and Dalleur, Olivia and Gilles, Christian and Petrovic, Mirko and Pepersack, Thierry},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  keywords     = {Geriatrics,Inappropriate prescription,Orthostatic hypotension,Drugs,NURSING-HOME RESIDENTS,BLOOD-PRESSURE,CONSENSUS STATEMENT,ELDERLY-PEOPLE,MEDICATION USE,RISK-FACTORS,FALLS,PREVALENCE,FAILURE,HYPERTENSION},
  language     = {eng},
  number       = {4},
  pages        = {251--258},
  title        = {Orthostatic hypotension and associated conditions in geriatric inpatients},
  url          = {http://dx.doi.org/10.1179/2295333715Y.0000000006},
  volume       = {70},
  year         = {2015},
}

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