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Orthostatic hypotension and overall mortality in 1050 older patients of the outpatient comprehensive geriatric assessment unit
Author(s) -
Freud Tamar,
Punchik Boris,
Kagan Ella,
Barzak Alex,
Press Yan
Publication year - 2018
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.13291
Subject(s) - orthostatic vital signs , medicine , comorbidity , multivariate analysis , univariate analysis , geriatrics , emergency medicine , physical therapy , blood pressure , psychiatry
Aim Orthostatic hypotension is a common problem in individuals aged ≥65 years. Its association with mortality is not clear. The aim of the present study was to evaluate associations between orthostatic hypotension and overall mortality in a sample of individuals aged ≥65 years who were seen at the Outpatient Comprehensive Geriatric Assessment Unit, Clalit Health Services, Beer‐Sheva, Israel. Methods Individuals who were evaluated in the Outpatient Comprehensive Geriatric Assessment Unit between January 2005 and December 2015, and who had data on orthostatic hypotension were included in the study. The database included sociodemographic characteristics, body mass index, functional and cognitive state, geriatric syndromes reached over the course of the assessment, and comorbidity. Data on mortality were also collected. Results The study sample included 1050 people, of whom 626 underwent comprehensive geriatric assessment and 424 underwent geriatric consultation. The mean age was 77.3 ± 5.4 years and 35.7% were men. Orthostatic hypotension was diagnosed in 294 patients (28.0%). In univariate analysis, orthostatic hypotension was associated with overall mortality only in patients aged 65–75 years (HR 1.5, 95% CI 1.07–2.2), but in the multivariate model this association disappeared. Conclusions In older frail patients, orthostatic hypotension was not an independent risk factor for overall mortality. Geriatr Gerontol Int 2018; 18: 1009–1017 .