September 1, 1994Journal of the American Geriatrics Society
Postprandial Hypotension in 499 Elderly Persons in a Long‐Term Health Care Facility
Population
499 ambulatory or wheelchair-bound residents in a long-term health care facility, age >= 62 years, 71%…
Design
Cohort
Authors
Discussion
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Implication
Postprandial BP monitoring may identify syncope/fall risk in frail elderly; leaves open whether intervention reduces events.
Key Points
- To analyze baseline data regarding postprandial hypotension among elderly individuals in a long-term care setting.
- Prospective analysis of 499 elderly residents aged ≥62 years in a long-term health care facility.
- Recorded maximal decreases in systolic and diastolic blood pressures post-meal and correlation with health events like syncope and falls.
- Compared blood pressure changes among residents on various medications.
- Mean maximal decrease in systolic blood pressure was 24 +/- 5 mm Hg in residents with syncope vs. 14 +/- 5 mm Hg without (P < 0.0001).
- Mean maximal decrease in systolic blood pressure was 21 +/- 5 mm Hg in residents with falls vs. 13 +/- 4 mm Hg without (P < 0.0001).
- Significantly greater maximal blood pressure drops were noted in residents on specific medications compared to those not on these treatments.
Structured PICO
P
Population
499 ambulatory or wheelchair-bound residents in a long-term health care facility, age >= 62 years (mean age 80 +/- 9 years), 71% female, 29% male, 66% white, 27% black, 7% Hispanic.
O
Outcome
Maximal decrease in postprandial systolic and diastolic blood pressuressurrogate
In elderly residents of a long-term care facility, a greater decrease in postprandial systolic blood pressure is significantly associated with a recent history of syncope and falls.
Cite This Study
Aronow et al. (1994) studied this question.