Orthostatic hypotension does not predict recurrent falling in a nursing home population

L. C. Hartog; M. Cimzar-Sweelssen; A. Knipscheer; K. H. Groenier; N. Kleefstra; H. J. G. Bilo; Kornelis J. J. Van Hateren

doi:10.1016/j.archger.2016.08.011

Orthostatic hypotension does not predict recurrent falling in a nursing home population

L. C. Hartog^*, M. Cimzar-Sweelssen, A. Knipscheer, K. H. Groenier, N. Kleefstra, H. J. G. Bilo, Kornelis J. J. Van Hateren

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

6 Citations (Scopus)

Abstract

Objective: Most studies regard orthostatic hypotension (OH) as a causal factor for falls. However, the evidence is lacking for this assumption. We aimed to investigate the relationship between orthostatic hypotension and fall incidents in nursing home residents.

Methods: A total of 249 patients was included in a prospective observational cohort study of nursing home residents. Falls were prospectively registered. Cox proportional hazard modelling and the conditional frailty model were used to analyse the relationship between OH and (recurrent) falling.

Results: Among the 249 patients, 450 falls were recorded during follow-up and OH was present in 93 out of 249 patients. No significant associations were found between OH and the first fall incident (Hazard Ratio (HR) 1.01 (95% Confidence Interval (CI) 0.60-1.69) and recurrent falling (HR 1.21 (95% CI 0.65-2.24)).

Original language	English
Pages (from-to)	39-43
Number of pages	5
Journal	Archives of Gerontology and Geriatrics
Volume	68
DOIs	https://doi.org/10.1016/j.archger.2016.08.011
Publication status	Published - Feb-2017

Keywords

Orthostatic hypotension
Nursing home residents
Fall risk
Recurrent falling
BLOOD-PRESSURE-MEASUREMENT
OLDER-PEOPLE
RISK-FACTORS
ELDERLY POPULATION
ASSOCIATION
VALIDATION
RESIDENTS
DEVICE
CARE

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Orthostatic hypotension does not predict recurrent falling in a nursing
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title = "Orthostatic hypotension does not predict recurrent falling in a nursing home population",

abstract = "Objective: Most studies regard orthostatic hypotension (OH) as a causal factor for falls. However, the evidence is lacking for this assumption. We aimed to investigate the relationship between orthostatic hypotension and fall incidents in nursing home residents.Methods: A total of 249 patients was included in a prospective observational cohort study of nursing home residents. Falls were prospectively registered. Cox proportional hazard modelling and the conditional frailty model were used to analyse the relationship between OH and (recurrent) falling.Results: Among the 249 patients, 450 falls were recorded during follow-up and OH was present in 93 out of 249 patients. No significant associations were found between OH and the first fall incident (Hazard Ratio (HR) 1.01 (95% Confidence Interval (CI) 0.60-1.69) and recurrent falling (HR 1.21 (95% CI 0.65-2.24)).Conclusions: Although falling and OH were both highly prevalent in nursing home residents, no relationship between OH and falling was found. (C) 2016 Elsevier Ireland Ltd. All rights reserved.",

keywords = "Orthostatic hypotension, Nursing home residents, Fall risk, Recurrent falling, BLOOD-PRESSURE-MEASUREMENT, OLDER-PEOPLE, RISK-FACTORS, ELDERLY POPULATION, ASSOCIATION, VALIDATION, RESIDENTS, DEVICE, CARE",

author = "Hartog, {L. C.} and M. Cimzar-Sweelssen and A. Knipscheer and Groenier, {K. H.} and N. Kleefstra and Bilo, {H. J. G.} and {Van Hateren}, {Kornelis J. J.}",

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doi = "10.1016/j.archger.2016.08.011",

language = "English",

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journal = "Archives of Gerontology and Geriatrics",

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AU - Hartog, L. C.

AU - Cimzar-Sweelssen, M.

AU - Knipscheer, A.

AU - Groenier, K. H.

AU - Kleefstra, N.

AU - Bilo, H. J. G.

AU - Van Hateren, Kornelis J. J.

PY - 2017/2

Y1 - 2017/2

N2 - Objective: Most studies regard orthostatic hypotension (OH) as a causal factor for falls. However, the evidence is lacking for this assumption. We aimed to investigate the relationship between orthostatic hypotension and fall incidents in nursing home residents.Methods: A total of 249 patients was included in a prospective observational cohort study of nursing home residents. Falls were prospectively registered. Cox proportional hazard modelling and the conditional frailty model were used to analyse the relationship between OH and (recurrent) falling.Results: Among the 249 patients, 450 falls were recorded during follow-up and OH was present in 93 out of 249 patients. No significant associations were found between OH and the first fall incident (Hazard Ratio (HR) 1.01 (95% Confidence Interval (CI) 0.60-1.69) and recurrent falling (HR 1.21 (95% CI 0.65-2.24)).Conclusions: Although falling and OH were both highly prevalent in nursing home residents, no relationship between OH and falling was found. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

AB - Objective: Most studies regard orthostatic hypotension (OH) as a causal factor for falls. However, the evidence is lacking for this assumption. We aimed to investigate the relationship between orthostatic hypotension and fall incidents in nursing home residents.Methods: A total of 249 patients was included in a prospective observational cohort study of nursing home residents. Falls were prospectively registered. Cox proportional hazard modelling and the conditional frailty model were used to analyse the relationship between OH and (recurrent) falling.Results: Among the 249 patients, 450 falls were recorded during follow-up and OH was present in 93 out of 249 patients. No significant associations were found between OH and the first fall incident (Hazard Ratio (HR) 1.01 (95% Confidence Interval (CI) 0.60-1.69) and recurrent falling (HR 1.21 (95% CI 0.65-2.24)).Conclusions: Although falling and OH were both highly prevalent in nursing home residents, no relationship between OH and falling was found. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

KW - Orthostatic hypotension

KW - Nursing home residents

KW - Fall risk

KW - Recurrent falling

KW - BLOOD-PRESSURE-MEASUREMENT

KW - OLDER-PEOPLE

KW - RISK-FACTORS

KW - ELDERLY POPULATION

KW - ASSOCIATION

KW - VALIDATION

KW - RESIDENTS

KW - DEVICE

KW - CARE

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DO - 10.1016/j.archger.2016.08.011

M3 - Article

SN - 0167-4943

VL - 68

SP - 39

EP - 43

JO - Archives of Gerontology and Geriatrics

JF - Archives of Gerontology and Geriatrics

ER -

Orthostatic hypotension does not predict recurrent falling in a nursing home population

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Keywords

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