Key result
Orthostatic blood pressure recovery measured using a sphygmomanometer was not associated with physical performance or the number of falls in geriatric outpatients.
Why the study?
Orthostatic hypotension and impaired recovery from beat-to-beat measurements predict poor outcomes, but the clinical relevance of orthostatic recovery assessed via sphygmomanometer is unclear.
Is orthostatic blood pressure recovery measured by a sphygmomanometer associated with physical performance or falls in geriatric outpatients?
Cross-Sectional (n=635)
Is orthostatic blood pressure recovery measured by a sphygmomanometer associated with physical performance or falls in geriatric outpatients?
Orthostatic blood pressure recovery measured by a standard sphygmomanometer between 1 and 3 minutes after standing does not correlate with physical performance or fall risk in geriatric outpatients, likely due to inadequate time resolution.
OH recovery by sphygmomanometer may aid geriatric risk stratification; leaves open added prognostic value beyond standard assessment.
BACKGROUND: Orthostatic hypotension (OH) and impaired OH recovery derived from beat-to-beat blood pressure (BP) measurements are associated with detrimental clinical outcome, but the clinical relevance of OH recovery assessed using the widely available sphygmomanometer is still unclear. METHOD: 635 geriatric outpatients underwent comprehensive geriatric assessment, including orthostatic BP measurements using a sphygmomanometer, during supine rest and 1 and 3 min after standing up and assessment of physical performance (i.e., the timed up and go test and the Short Physical Performance Battery) and the number of falls in the past year. The association between BP recovery, defined as BP at 3 min minus BP at 1 min after standing up, with physical performance and falls was assessed using regression analyses, adjusting for age and sex, both in the entire cohort and after stratifying for the presence of OH at 1 min after standing up. RESULTS: BP recovery was not associated with physical performance or number of falls, neither in the entire cohort, nor in subpopulations with or without OH. CONCLUSION: The clinical relevance of BP recovery between 1 and 3 min after standing up could not be demonstrated. The results suggest that sphygmomanometer measurements have an inadequate time resolution to record the clinically relevant dynamics of orthostatic BP recovery.
No takes yet. Share an insight, caveat, or question.
Mol et al. (2021) conducted a cross-sectional in Geriatric outpatients (n=635). Orthostatic blood pressure recovery measured using a sphygmomanometer was evaluated on Physical performance (timed up and go test and Short Physical Performance Battery) and number of falls in the past year. Orthostatic blood pressure recovery measured using a sphygmomanometer was not associated with physical performance or the number of falls in geriatric outpatients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: