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January 1, 2017Clinical Interventions in AgingOpen Access

Which is preferable for orthostatic hypotension diagnosis in older adults: active standing test or head-up tilt table test?

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Key result

Head-up tilt table testing detected orthostatic hypotension in 19% of patients versus 37% with active standing testing, which had 49.0% sensitivity and 65.5% specificity compared to HUT.

Why the study?

Is the head-up tilt table test preferable to the active standing test for diagnosing clinically significant orthostatic hypotension in older adults?

Population

290 geriatric patients undergoing evaluation for orthostatic hypotension

Comparison

Head-up tilt table (HUT) test vs Active standing test (AST)

Design

Cross-sectional

Authors

AAAli Ekrem AydınOndokuz Mayıs UniversityPSPınar SoysalBezmiâlem Vakıf ÜniversitesiAIAhmet Turan IşıkCross-Cutting Cardiology

Discussion

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Implication

Active standing may overestimate orthostatic hypotension prevalence in older adults; leaves open whether tilt testing better identifies clinically relevant cases.

Study Design

Type

Cross-Sectional (n=290)

Structured PICO

Is the head-up tilt table test preferable to the active standing test for diagnosing clinically significant orthostatic hypotension in older adults?

P
Population
290 geriatric patients evaluated for orthostatic hypotension using both active standing test and head-up tilt table test.
E
Exposure
Head-up tilt table (HUT) test
C
Comparator
Active standing test (AST)
O
Outcome
Diagnosis of orthostatic hypotension and its association with comprehensive geriatric assessment (CGA) parameters

Main Result

Absolute Event Rate: 19% vs 37%

The head-up tilt table test identifies a more clinically relevant phenotype of orthostatic hypotension in older adults compared to the active standing test, correlating better with geriatric syndromes.

Cite This Study

Aydın et al. (2017) conducted a cross-sectional in orthostatic hypotension (n=290). Head-up tilt table (HUT) test vs. Active standing test (AST) was evaluated on Prevalence of orthostatic hypotension. Head-up tilt table testing detected orthostatic hypotension in 19% of patients versus 37% with active standing testing, which had 49.0% sensitivity and 65.5% specificity compared to HUT.

synapsesocial.com/papers/6a94464c235a0bf22c92ef7dhttps://doi.org/10.2147/cia.s129868
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Delayed orthostatic hypotension2006 · 288 citations
  2. 2Comprehensive geriatric assessment decreases prevalence of orthostatic hypotension in older persons2013 · 15 citations
  3. 3Orthostatic hypotension and associated conditions in geriatric inpatients2015 · 32 citations
  4. 4Orthostatic hypotension in genetically related hypertensive and normotensive individuals2009 · 133 citations
  5. 5Syndromes of orthostatic intolerance: a hidden danger2013 · 153 citations