PREVALENCE OF ORTHOSTATIC HYPOTENSION AND RISK OF FALL AMONG ELDER POPULATION IN OLD AGE HOME
Main Article Content
Keywords
ELDERS, old age home, orthostatic hypertension, risk of fall
Abstract
Background: Orthostatic hypotension is a condition described by the American Societies of Neurology and Autonomy in which there is a 20mmHg decrease in systolic blood pressure or 10mmhg decrease in diastolic blood pressure within three minutes as a person stands up. Orthostatic hypotension causes pre-syncope within seconds of standing requiring a patient to sit down immediately decline in condition can be caused secondary to systemic illness or autonomic failure. The most controversial risk factor related to falls is orthostatic hypotension. Recent studies have shown that OH is the leading cause of morbidity related to accidental falls which increase as the person ages.
Aims and objectives: This study aimed to determine the prevalence of orthostatic hypotension and the risk of falls among the elderly population in old-age homes.
Place and Duration: This data was collected from Old Age Homes (Aafiyat Faisalabad, Pakistan), (Old Age Home M.B.Din, Pakistan), ( Daar-ul-Sawab Old Age Home Lahore, Pakistan). The study was completed within 4 months after the approval of the synopsis.
Methodology: The data of 114 participants was collected. The Orthostatic Hypotension Symptoms Questionnaire was used to assess the prevalence of orthostatic hypotension and the risk of falls among the elderly population in old-age homes.
Results: The study included participants with a mean age of 62.45 ± 7.67 years, comprising 52.6% males and 47.4% females. Analysis revealed a moderate prevalence of orthostatic hypotension (OH) with a mean ± SD score of 16.09 ± 3.26 on the OH symptoms questionnaire. The participants of this study had a moderate Risk of Falls (ROF) with a mean ± SD score of 16.09 ± 3.26 on the Fall assessment part of the OH symptoms questionnaire. The correlation between OH and ROF was found to be strongly positive with a correlation coefficient of 0.892 and a very significant p-value of 0.000.
Conclusion: In conclusion, our study demonstrates a moderate prevalence of orthostatic hypotension as well as a moderate risk of falls among elderly individuals residing in old-age homes.
Aims and objectives: This study aimed to determine the prevalence of orthostatic hypotension and the risk of falls among the elderly population in old-age homes.
Study design: A cross-sectional study
Place and Duration: This data was collected from Old Age Homes (Aafiyat Faisalabad, Pakistan), (Old Age Home M.B.Din, Pakistan), ( Daar-ul-Sawab Old Age Home Lahore, Pakistan). The study was completed within 4 months after the approval of the synopsis.
Methodology: The data of 114 participants was collected. The Orthostatic Hypotension Symptoms Questionnaire was used to assess the prevalence of orthostatic hypotension and the risk of falls among the elderly population in old-age homes.
Results: The study included participants with a mean age of 62.45 ± 7.67 years, comprising 52.6% males and 47.4% females. Analysis revealed a moderate prevalence of orthostatic hypotension (OH) with a mean ± SD score of 16.09 ± 3.26 on the OH symptoms questionnaire. The participants of this study had a moderate Risk of Falls (ROF) with a mean ± SD score of 16.09 ± 3.26 on the Fall assessment part of the OH symptoms questionnaire. The correlation between OH and ROF was found to be strongly positive with a correlation coefficient of 0.892 and a very significant p-value of 0.000.
Conclusion: In conclusion, our study demonstrates a moderate prevalence of orthostatic hypotension as well as a moderate risk of falls among elderly individuals residing in old-age homes.
References
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2. Verwoert GC, Mattace‐Raso FU, Hofman A, Heeringa J, Stricker BH, Breteler MM, et al. Orthostatic hypotension and risk of cardiovascular disease in elderly people: the Rotterdam study. Journal of the American Geriatrics Society. 2008;56(10):1816-20.
3. Bradley JG, Davis KA. Orthostatic hypotension. American family physician. 2003;68(12):2393-9.
4. Di Stefano C, Milazzo V, Totaro S, Sobrero G, Ravera A, Milan A, et al. Orthostatic hypotension in a cohort of hypertensive patients referring to a hypertension clinic. Journal of Human Hypertension. 2015;29(10):599-603.
5. Ricci F, Fedorowski A, Radico F, Romanello M, Tatasciore A, Di Nicola M, et al. Cardiovascular morbidity and mortality related to orthostatic hypotension: a meta-analysis of prospective observational studies. European heart journal. 2015;36(25):1609-17.
6. Shaw BH, Borrel D, Sabbaghan K, Kum C, Yang Y, Robinovitch SN, et al. Relationships between orthostatic hypotension, frailty, falling and mortality in elderly care home residents. BMC geriatrics. 2019;19:1-14.
7. Dusenbury WL. Evaluation and Feasibility of a Head Positioning Intervention in Patients with Intraparenchymal Hemorrhage: The University of Tennessee Health Science Center; 2021.
8. Kaufmann H, Malamut R, Norcliffe-Kaufmann L, Rosa K, Freeman R. The Orthostatic Hypotension Questionnaire (OHQ): validation of a novel symptom assessment scale. Clinical Autonomic Research. 2012;22:79-90.
9. Luukinen H, Herala M, Koski K, Honkanen R, Laippala P, Kivelä S-L. Fracture risk associated with a fall according to type of fall among the elderly. Osteoporosis International. 2000;11:631-4.
10. Low PA, Tomalia VA. Orthostatic hypotension: mechanisms, causes, management. Journal of clinical neurology. 2015;11(3):220-6.
11. De Laet CE, Pols HA. Fractures in the elderly: epidemiology and demography. Best Practice & Research Clinical Endocrinology & Metabolism. 2000;14(2):171-9.
12. Hiitola P, Enlund H, Kettunen R, Sulkava R, Hartikainen S. Postural changes in blood pressure and the prevalence of orthostatic hypotension among home-dwelling elderly aged 75 years or older. Journal of human hypertension. 2009;23(1):33-9.
13. Liu BA, Topper AK, Reeves RA, Gryfe C, Maki BE. Falls among older people: relationship to medication use and orthostatic hypotension. Journal of the American Geriatrics Society. 1995;43(10):1141-5.
14. Mol A, Hoang PTSB, Sharmin S, Reijnierse EM, van Wezel RJ, Meskers CG, et al. Orthostatic hypotension and falls in older adults: a systematic review and meta-analysis. Journal of the American Medical Directors Association. 2019;20(5):589-97. e5.
15. Juraschek SP, Daya N, Appel LJ, Miller III ER, Windham BG, Pompeii L, et al. Orthostatic hypotension in middle-age and risk of falls. American journal of hypertension. 2017;30(2):188-95.
16. Gangavati A, Hajjar I, Quach L, Jones RN, Kiely DK, Gagnon P, et al. Hypertension, orthostatic hypotension, and the risk of falls in a community‐dwelling elderly population: the maintenance of balance, independent living, intellect, and zest in the elderly of Boston study. Journal of the American Geriatrics Society. 2011;59(3):383-9.
17. Shibao C, Lipsitz LA, Biaggioni I, Group ASoHW. Evaluation and treatment of orthostatic hypotension. Journal of the American Society of Hypertension. 2013;7(4):317-24.
2. Verwoert GC, Mattace‐Raso FU, Hofman A, Heeringa J, Stricker BH, Breteler MM, et al. Orthostatic hypotension and risk of cardiovascular disease in elderly people: the Rotterdam study. Journal of the American Geriatrics Society. 2008;56(10):1816-20.
3. Bradley JG, Davis KA. Orthostatic hypotension. American family physician. 2003;68(12):2393-9.
4. Di Stefano C, Milazzo V, Totaro S, Sobrero G, Ravera A, Milan A, et al. Orthostatic hypotension in a cohort of hypertensive patients referring to a hypertension clinic. Journal of Human Hypertension. 2015;29(10):599-603.
5. Ricci F, Fedorowski A, Radico F, Romanello M, Tatasciore A, Di Nicola M, et al. Cardiovascular morbidity and mortality related to orthostatic hypotension: a meta-analysis of prospective observational studies. European heart journal. 2015;36(25):1609-17.
6. Shaw BH, Borrel D, Sabbaghan K, Kum C, Yang Y, Robinovitch SN, et al. Relationships between orthostatic hypotension, frailty, falling and mortality in elderly care home residents. BMC geriatrics. 2019;19:1-14.
7. Dusenbury WL. Evaluation and Feasibility of a Head Positioning Intervention in Patients with Intraparenchymal Hemorrhage: The University of Tennessee Health Science Center; 2021.
8. Kaufmann H, Malamut R, Norcliffe-Kaufmann L, Rosa K, Freeman R. The Orthostatic Hypotension Questionnaire (OHQ): validation of a novel symptom assessment scale. Clinical Autonomic Research. 2012;22:79-90.
9. Luukinen H, Herala M, Koski K, Honkanen R, Laippala P, Kivelä S-L. Fracture risk associated with a fall according to type of fall among the elderly. Osteoporosis International. 2000;11:631-4.
10. Low PA, Tomalia VA. Orthostatic hypotension: mechanisms, causes, management. Journal of clinical neurology. 2015;11(3):220-6.
11. De Laet CE, Pols HA. Fractures in the elderly: epidemiology and demography. Best Practice & Research Clinical Endocrinology & Metabolism. 2000;14(2):171-9.
12. Hiitola P, Enlund H, Kettunen R, Sulkava R, Hartikainen S. Postural changes in blood pressure and the prevalence of orthostatic hypotension among home-dwelling elderly aged 75 years or older. Journal of human hypertension. 2009;23(1):33-9.
13. Liu BA, Topper AK, Reeves RA, Gryfe C, Maki BE. Falls among older people: relationship to medication use and orthostatic hypotension. Journal of the American Geriatrics Society. 1995;43(10):1141-5.
14. Mol A, Hoang PTSB, Sharmin S, Reijnierse EM, van Wezel RJ, Meskers CG, et al. Orthostatic hypotension and falls in older adults: a systematic review and meta-analysis. Journal of the American Medical Directors Association. 2019;20(5):589-97. e5.
15. Juraschek SP, Daya N, Appel LJ, Miller III ER, Windham BG, Pompeii L, et al. Orthostatic hypotension in middle-age and risk of falls. American journal of hypertension. 2017;30(2):188-95.
16. Gangavati A, Hajjar I, Quach L, Jones RN, Kiely DK, Gagnon P, et al. Hypertension, orthostatic hypotension, and the risk of falls in a community‐dwelling elderly population: the maintenance of balance, independent living, intellect, and zest in the elderly of Boston study. Journal of the American Geriatrics Society. 2011;59(3):383-9.
17. Shibao C, Lipsitz LA, Biaggioni I, Group ASoHW. Evaluation and treatment of orthostatic hypotension. Journal of the American Society of Hypertension. 2013;7(4):317-24.
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Published
Jul 5, 2024
Article Details
How to Cite
Zainab Khan, Moater Iftikhar, Aleena Qadeer, Maryam, & Mehwish. (2024). PREVALENCE OF ORTHOSTATIC HYPOTENSION AND RISK OF FALL AMONG ELDER POPULATION IN OLD AGE HOME. Journal of Population Therapeutics and Clinical Pharmacology, 31(7), 167-173. https://doi.org/10.53555/jptcp.v31i7.6877
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Author Biographies
Zainab Khan
Physiotherapist, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
Moater Iftikhar
Lecturer, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
Aleena Qadeer
Physiotherapist, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
Maryam
Physiotherapist, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
Mehwish
Physiotherapist, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
How to Cite
Zainab Khan, Moater Iftikhar, Aleena Qadeer, Maryam, & Mehwish. (2024). PREVALENCE OF ORTHOSTATIC HYPOTENSION AND RISK OF FALL AMONG ELDER POPULATION IN OLD AGE HOME. Journal of Population Therapeutics and Clinical Pharmacology, 31(7), 167-173. https://doi.org/10.53555/jptcp.v31i7.6877