Timing of orthostatic hypotension and its relationship with falls in older adults
Why the study?
Evidence on the optimal time after standing to assess for orthostatic hypotension is inconsistent.
Does the timing of orthostatic hypotension assessment affect its predictive value for falls in older adults?
Population
Community-dwelling adults, 70 years or older from the STURDY trial
Comparison
Orthostatic hypotension at different time points after standing (M1-M6)
Design
Secondary analysis of a randomized clinical trial
Follow-up
Earlier of 24-month visit or study completion
Authors
Discussion
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Member takes
Implication
Delayed OH assessment may identify older adults at higher fall risk; hypothesis-generating for timing-specific protocols and requires prospective validation.
Structured PICO
Does the timing of orthostatic hypotension assessment affect its predictive value for falls in older adults?
P
Population
Community-dwelling adults, 70 years or older from the STURDY trial.
I
Intervention
Orthostatic hypotension assessment at different time points after standing (six measurements M1-M6 in two clusters: immediately and 3 min after standing)
O
Outcome
Subsequent fallshard clinical
Orthostatic hypotension is most prevalent and symptomatic immediately after standing, but delayed measurements (after 4.5 min) are more predictive of fall risk.
Cite This Study
Petriceks et al. (2023) studied this question.