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November 24, 1998Circulation459 citations

Orthostatic Hypotension Predicts Mortality in Elderly Men

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Why the study?

Does orthostatic hypotension predict 4-year all-cause mortality in elderly Japanese American men?

Population

3522 Japanese American men 71 to 93 years old from the Honolulu Heart Program

Comparison

Orthostatic hypotension vs No orthostatic hypotension

Design

Cohort

Follow-up

4 years

Key result

Orthostatic hypotension was a significant independent predictor of 4-year all-cause mortality in elderly ambulatory men (RR 1.64; 95% CI 1.19-2.26).

Authors

KMKamal MasakiISIrwin J. SchatzCBCecil M. Burchfiel

Discussion

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Overview

May flag higher mortality risk in elderly men; hypothesis-generating as frailty marker, needing prospective validation before clinical use.

Study Design

Type

Cohort (n=3,522)

Structured PICO

Does orthostatic hypotension predict 4-year all-cause mortality in elderly Japanese American men?

P
Population
3522 Japanese American men 71 to 93 years old from the Honolulu Heart Program
I
Intervention
Orthostatic hypotension (drop in systolic blood pressure of >=20 mm Hg or diastolic blood pressure of >=10 mm Hg after 3 minutes of standing)
C
Comparator
No orthostatic hypotension
O
Outcome
4-year all-cause mortalityhard clinical

Orthostatic hypotension is an independent predictor of 4-year all-cause mortality in elderly ambulatory men, suggesting it may serve as a marker for physical frailty.

Main Result

Effect estimate: RR 1.64 (95% CI 1.19 to 2.26)

Absolute Event Rate: 56.6% vs 38.6%

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Cite This Study

Masaki et al. (1998) conducted a cohort in Orthostatic hypotension (n=3,522). Orthostatic hypotension vs. No orthostatic hypotension was evaluated on 4-year all-cause mortality (RR 1.64, 95% CI 1.19 to 2.26). Orthostatic hypotension was a significant independent predictor of 4-year all-cause mortality in elderly ambulatory men (RR 1.64; 95% CI 1.19-2.26).

synapsesocial.com/papers/6a07198fd9167a9c2a5846b1https://doi.org/10.1161/01.cir.98.21.2290
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