What is the prevalence of orthostatic hypotension in an Australasian emergency department population?

被引:0
作者
Clemensen, Ellie [1 ]
Lau, Gabriel T. [2 ]
Popovic, Gordana [3 ]
机构
[1] Univ New South Wales, Fac Med & Hlth, Sydney, NSW, Australia
[2] Port Macquarie Base Hosp, Emergency Dept, Wrights Rd, Port Macquarie, NSW 2444, Australia
[3] Univ New South Sales, Sch Math & Stat, Sydney, NSW, Australia
关键词
blood pressure; emergency department; orthostatic hypotension; prevalence; SYNCOPE;
D O I
10.1111/1742-6723.14315
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: Orthostatic hypotension (OH) is associated with increased morbidity and there is limited research on the prevalence in the Australian ED population. The aim was to determine the prevalence of OH in an Australian ED population. Secondary outcomes included any associations of OH with symptoms, presenting complaints, patient demographics, or hospital admission, and the timing of OH findings.Methods: Patients presenting to a regional Australasian ED underwent orthostatic measurements at 1, 3 and 5 min of standing following 5 min of supine bed rest. OH was defined as a drop in systolic and/or diastolic blood pressure by =20 and =10 mmHg, respectively.Results: Of the 312 patients who were enrolled in the study, 69 (22.1%, 95% confidence interval 17.7-27.2%) had OH and 76.8% of cases were detected after 3 min of standing. There was evidence of difference in the prevalence of OH with age (P < 0.001). Similarly, there was evidence of a difference in supine systolic and diastolic blood pressure measurements (P = 0.012 and P < 0.001, respectively) between orthostatic and normotensive subjects. No association was found with OH and hospital admission, presenting complaints or comorbid medical illnesses.Conclusions: In this single Australian ED population, there was a high prevalence of OH (22.1%) with most cases detected within 3 min of standing. A higher-powered study across multiple sites would better substantiate these findings.
引用
收藏
页码:88 / 93
页数:6
相关论文
共 14 条
  • [1] [Anonymous], SAMPL SIZ CALC
  • [2] Australian Institute of Health and Welfare, 2022, PORT MACQ BAS HOSP 2
  • [3] Assessment of orthostatic hypotension in the emergency room
    Cohen, Eytan
    Grossman, Ehud
    Sapoznikov, Boris
    Sulkes, Jaqueline
    Kagan, Ilya
    Garty, Moshe
    [J]. BLOOD PRESSURE, 2006, 15 (05) : 263 - 267
  • [4] Symptom Recognition Is Impaired in Patients With Orthostatic Hypotension
    Freeman, Roy
    Illigens, Ben M. W.
    Lapusca, Razvan
    Campagnolo, Marta
    Abuzinadah, Ahmad R.
    Bonyhay, Istvan
    Sinn, Dong-In
    Miglis, Mitchell
    White, Jeffrey
    Gibbons, Christopher H.
    [J]. HYPERTENSION, 2020, 75 (05) : 1325 - 1332
  • [5] Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome
    Freeman, Roy
    Wieling, Wouter
    Axelrod, Felicia B.
    Benditt, David G.
    Benarroch, Eduardo
    Biaggioni, Italo
    Cheshire, William P.
    Chelimsky, Thomas
    Cortelli, Pietro
    Gibbons, Christopher H.
    Goldstein, David S.
    Hainsworth, Roger
    Hilz, Max J.
    Jacob, Giris
    Kaufmann, Horacio
    Jordan, Jens
    Lipsitz, Lewis A.
    Levine, Benjamin D.
    Low, Phillip A.
    Mathias, Christopher
    Raj, Satish R.
    Robertson, David
    Sandroni, Paola
    Schatz, Irwin J.
    Schondorf, Ron
    Stewart, Julian M.
    van Dijk, J. Gert
    [J]. AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL, 2011, 161 (1-2): : 46 - 48
  • [6] Lanier JB, 2011, AM FAM PHYSICIAN, V84, P527
  • [7] Orthostatic Hypotension and Falls in Older Adults: A Systematic Review and Meta-analysis
    Mol, Arjen
    Phuong Thanh Silvie Bui Hoang
    Sharmin, Sifat
    Reijnierse, Esmee M.
    van Wezel, Richard J. A.
    Meskers, Carel G. M.
    Maier, Andrea B.
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2019, 20 (05) : 589 - +
  • [8] Raats M. M., 1992, Food Quality and Preference, V3, P89, DOI 10.1016/0950-3293(91)90028-D
  • [9] Cardiovascular morbidity and mortality related to orthostatic hypotension: a meta-analysis of prospective observational studies
    Ricci, Fabrizio
    Fedorowski, Artur
    Radico, Francesco
    Romanello, Mattia
    Tatasciore, Alfonso
    Di Nicola, Marta
    Zimarino, Marco
    De Caterina, Raffaele
    [J]. EUROPEAN HEART JOURNAL, 2015, 36 (25) : 1609 - 1617
  • [10] The Prevalence of Orthostatic Hypotension: A Systematic Review and Meta-Analysis
    Saedon, Nor I'zzati
    Pin Tan, Maw
    Frith, James
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2020, 75 (01): : 117 - 122