September 1, 1997Journal of the American Geriatrics Society
Association of Postprandial Hypotension With Incidence of Falls, Syncope, Coronary Events, Stroke, and Total Mortality at 29‐Month Follow‐Up in 499 Older Nursing Home Residents
Why the study?
Is postprandial hypotension associated with an increased incidence of falls, syncope, coronary events, stroke, and total mortality in older nursing home residents?
Population
499 older nursing home residents
Design
Cohort
Follow-up
29 months
Authors
Discussion
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Member takes
Implication
May flag higher-risk older residents; leaves open whether targeted interventions reduce events.
Key Points
- This research investigates the relationship between postprandial hypotension and various health outcomes in elderly nursing home residents.
- Longitudinal follow-up study with 499 nursing home residents over 29 months.
- Assessment of postprandial blood pressure and corresponding health events including falls and mortality.
- Increased incidence of falls among those with marked postprandial blood pressure reduction.
- Higher rates of syncope, new coronary events, and stroke were observed.
- Total mortality was significantly related to postprandial hypotension.
Structured PICO
Is postprandial hypotension associated with an increased incidence of falls, syncope, coronary events, stroke, and total mortality in older nursing home residents?
P
Population
499 older nursing home residents
I
Intervention
Marked reduction in postprandial systolic blood pressure (postprandial hypotension)
O
Outcome
Incidence of falls, syncope, new coronary events, new stroke, and total mortalityhard clinical
Postprandial hypotension is a significant risk marker for adverse clinical outcomes, including falls, syncope, cardiovascular events, and mortality, in older nursing home residents.
Cite This Study
Aronow et al. (1997) studied this question.