A Luukkonen1, M Tiihonen, T Rissanen, S Hartikainen, I Nykänen. 1. Miia Tiihonen, Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio Campus, P.O.BOX 1627, FI-70211 Kuopio, Finland, Phone +358 40 355 3125, Fax: 358 17 162 131, E-mail: Miia.Tiihonen@uef.fi.
Abstract
OBJECTIVES: The aim of this study was to examine orthostatic hypotension (OH) and associated factors among home care clients aged 75 years or older. DESIGN: Non-randomised controlled study. SETTING AND PARTICIPANTS: The study sample included 244 home care clients aged 75 years or older living in Eastern and Central Finland. MEASUREMENTS: Nurses, nutritionists and pharmacists collected clinical data including orthostatic blood pressure, depressive symptoms (15-item Geriatric Depression Scale GDS-15), nutritional status (Mini Nutritional Assessment MNA), drug use, self-rated health, daily activities (Barthel ADL Index and Lawton and Brody IADL scale) and self-rated ability to walk 400 metres. Comorbidities were based on medical records. RESULTS: The prevalence of OH was 35.7% (n = 87). No association between OH and the number of drugs used or causative drug use and OH was found. In univariate analysis, coronary heart disease, systolic and diastolic blood pressure in a sitting position and lower mean MNA scores were associated with a risk of OH. Multivariate analysis showed that lower mean MNA scores (OR 1.140, 95% CI: 1.014-1.283) appeared to be independently connected to a risk of OH. CONCLUSION: One-third of the home clients had OH and it was associated with lower MNA scores.
OBJECTIVES: The aim of this study was to examine orthostatic hypotension (OH) and associated factors among home care clients aged 75 years or older. DESIGN: Non-randomised controlled study. SETTING AND PARTICIPANTS: The study sample included 244 home care clients aged 75 years or older living in Eastern and Central Finland. MEASUREMENTS: Nurses, nutritionists and pharmacists collected clinical data including orthostatic blood pressure, depressive symptoms (15-item Geriatric Depression Scale GDS-15), nutritional status (Mini Nutritional Assessment MNA), drug use, self-rated health, daily activities (Barthel ADL Index and Lawton and Brody IADL scale) and self-rated ability to walk 400 metres. Comorbidities were based on medical records. RESULTS: The prevalence of OH was 35.7% (n = 87). No association between OH and the number of drugs used or causative drug use and OH was found. In univariate analysis, coronary heart disease, systolic and diastolic blood pressure in a sitting position and lower mean MNA scores were associated with a risk of OH. Multivariate analysis showed that lower mean MNA scores (OR 1.140, 95% CI: 1.014-1.283) appeared to be independently connected to a risk of OH. CONCLUSION: One-third of the home clients had OH and it was associated with lower MNA scores.
Entities:
Keywords:
MNA scores; Orthostatic hypotension; home care; older people
Authors: Fabrizio Ricci; Artur Fedorowski; Francesco Radico; Mattia Romanello; Alfonso Tatasciore; Marta Di Nicola; Marco Zimarino; Raffaele De Caterina Journal: Eur Heart J Date: 2015-04-06 Impact factor: 29.983
Authors: L Jodaitis; F Vaillant; M Snacken; B Boland; A Spinewine; O Dalleur; C Gilles; M Petrovic; T Pepersack Journal: Acta Clin Belg Date: 2015-07-02 Impact factor: 1.264
Authors: Kevin Gerald McCarroll; David J Robinson; Avril Coughlan; Martin Healy; Rose Anne Kenny; Conal Cunningham Journal: Age Ageing Date: 2012-07-11 Impact factor: 10.668