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

Hartog, L. C., Cimzar-Sweelssen, M., Knipscheer, A., Groenier, K. H., Kleefstra, N., Bilo, H. J. G. & Van Hateren, K. J. J., Feb-2017, In : Archives of Gerontology and Geriatrics. 68, p. 39-43 5 p.

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  • Orthostatic hypotension does not predict recurrent falling in a nursing

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DOI

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.

Original languageEnglish
Pages (from-to)39-43
Number of pages5
JournalArchives of Gerontology and Geriatrics
Volume68
Publication statusPublished - 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

ID: 43764617