Prevalence of orthostatic hypotension in non-institutionalised elderly aged 80 and over. A diagnostic study using an oscillometric device

A. Pérez-Orcero, E. Vinyoles-Bargalló, E. Pujol-Ribera, M. de la Figuera-von Wichmann, J. M. Baena-Diez, R. Manjón-Villanueva, S. Valiente-Hernandez, S. González-Sánchez, E. de Diego-Bustillos, M. Castelló-Alonso

    Research output: Contribution to journalArticleResearchpeer-review

    1 Citation (Scopus)

    Abstract

    © 2016 SEH-LELHA Background Orthostatic hypotension (OH) is a common disorder, and possibly underdiagnosed. In the elderly, OH has been considered a common cause of falls, fractures, and fear of falling. Its prevalence increases with age, probably related to the number of drug treatments, decreased fluid intake, and the progressive dysfunction of the autonomic nervous system. Objectives To evaluate the prevalence of OH in a non-institutionalised population ≥80 years, according to different criteria based on sequential measurements taken at minute 0, 1, 3 and 5 of standing. Methods design A diagnostic accuracy study using an oscillometric device. Setting and participants Convenience sampling of 176 people ≥80 years attended in an urban Primary Health Care Centre. Measurements Supine and standing blood pressure (BP) measurements, at minutes 0, 1, 3 and 5 using the OMRON 705-CP blood pressure device. OH definition: decrease ≥20 mmHg in systolic BP (SBP) and/or ≥10 mmHg in diastolic BP (DBP). Results Mean age (Standard Deviation) was 85.2 (3.7) years, and 60.2% were women. Prevalence of OH: 30.7% at minute 0; 19.3% at minute 1; 18.2% at minute 3; and 20.5% at minute 5. Age, sedentary life, smoking, diabetes and SBP values were significantly associated with a greater BP decrease at minute 0. Conclusion A third of the sample had OH, with a maximum prevalence at minute 0. From a clinical point of view, it is suggested that the definition of OH is prioritized according to the BP at minute 0.
    Original languageEnglish
    Pages (from-to)93-102
    JournalHipertension y Riesgo Vascular
    Volume33
    Issue number3
    DOIs
    Publication statusPublished - 1 Jul 2016

    Keywords

    • Blood pressure
    • Elderly
    • Orthostatic hypotension
    • Primary health care

    Fingerprint Dive into the research topics of 'Prevalence of orthostatic hypotension in non-institutionalised elderly aged 80 and over. A diagnostic study using an oscillometric device'. Together they form a unique fingerprint.

    Cite this