Orthostatic Hypotension and Falls in Hospitalized Older Adults

被引：3
|
作者：
Schell, Kathleen [1 ]
Lyons, Denise [3 ]
Bodt, Barry [2 ]
机构：
[1] Univ Delaware, Sch Nursing, 25 N Coll Ave, Newark, DE 19716 USA
[2] Univ Delaware, Coll Hlth Sci, Newark, DE USA
[3] ChristianaCare, Newark, DE USA
来源：
CLINICAL NURSING RESEARCH | 2021年 / 30卷 / 05期
基金：
美国国家卫生研究院;
关键词：
orthostatic hypotension; fall prevalence; inpatient; older adults; BLOOD-PRESSURE-MEASUREMENTS; RISK; MANAGEMENT; DIAGNOSIS;
D O I：
10.1177/1054773820986682
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
The aim of this retrospective study was to determine the prevalence of orthostatic hypotension (OH) among a convenience sample of older adults on two Acute Care of the Elderly (ACE) units of the ChristianaCare (TM) in Delaware. Another aim was to determine if subjects with documented OH experienced falls. Retrospective de-identified data was obtained from electronic medical records for the years 2015 to 2018. Among all patients who had valid first orthostatic vital sign (OVS) readings (n = 7,745), 39.2% had orthostatic hypotension on the first reading. Among the patients, 42.8% were found to be hypotensive during OVS. Thirty-one (0.9%) of those with OH fell at some point during their stay. The odds ratio for falls in the presence of OH was 1.34 with a 95% confidence interval (0.82, 2.21), but a chi-square test failed to find significance (p = .2494). The results could not determine if OVS should be mandatory in fall prevention protocols.
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页码：699 / 706
页数：8
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