Key result
Postprandial hypotension is highly prevalent in frail elderly patients, and measuring blood pressure every 10 minutes for 60 minutes after breakfast adequately diagnoses a >20 mmHg systolic fall.
Why the study?
What is the prevalence of postprandial hypotension in geriatric patients versus healthy elderly, and what is the optimal diagnostic measurement interval?
Observational
What is the prevalence of postprandial hypotension in geriatric patients versus healthy elderly, and what is the optimal diagnostic measurement interval?
Measuring blood pressure every 10 minutes for 60 minutes after breakfast is an effective strategy to diagnose postprandial hypotension (>20 mmHg systolic fall) in geriatric patients.
May support postprandial BP screening in frail elderly; leaves open validation versus healthy controls and prospective outcomes.
The aims of this study were to find out whether Postprandial hypotension (PPH) occurs more frequently in patients admitted to a geriatric ward than in healthy elderly individuals, what the optimal interval between blood pressure measurements is in order to diagnose PPH and how often it is associated with symptoms.The result of this study indicates that PPH is present in a high number of frail elderly, but also in a few healthy older persons. Measuring blood pressure at least every 10 minutes for 60 minutes after breakfast will adequately diagnose PPH, defined as >20 mmHg systolic fall, in most patients. However with definition of PPH as >30 mmHg systolic fall, measuring blood pressure every 10 minutes will miss PPH in one of three patients. With the latter definition of PPH the presence of postprandial complaints is not associated with the existence of PPH.
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Orshoven et al. (2010) conducted an observational in Postprandial hypotension. Frail elderly status vs. Healthy elderly individuals was evaluated on Prevalence of postprandial hypotension. Postprandial hypotension is highly prevalent in frail elderly patients, and measuring blood pressure every 10 minutes for 60 minutes after breakfast adequately diagnoses a >20 mmHg systolic fall.
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