Continuous Noninvasive Orthostatic Blood Pressure Measurements and Their Relationship with Orthostatic Intolerance, Falls, and Frailty in Older People

@article{RomeroOrtuo2011ContinuousNO,
  title={Continuous Noninvasive Orthostatic Blood Pressure Measurements and Their Relationship with Orthostatic Intolerance, Falls, and Frailty in Older People},
  author={Rom{\'a}n Romero-Ortu{\~n}o and Lisa Cogan and Timothy G. Foran and Rose Anne Kenny and Chie Wei Fan},
  journal={Journal of the American Geriatrics Society},
  year={2011},
  volume={59}
}
OBJECTIVES: To identify morphological orthostatic blood pressure (BP) phenotypes in older people and assess their correlation with orthostatic intolerance (OI), falls, and frailty and to compare the discriminatory performance of a morphological classification with two established orthostatic hypotension (OH) definitions: consensus (COH) and initial (IOH). 

Impaired Orthostatic Blood Pressure Recovery Is Associated with Unexplained and Injurious Falls

To determine for the first time to what extent OH (and variants) are risk factors for incident falls, unexplained falls (UF), injurious falls (IF) and syncope using dynamic blood pressure (BP) measurements in a population study.

Orthostatic Hypotension in Older Adults

This study used a continuous noninvasive blood pressure monitoring device to measure orthostatic change on a single occasion in 442 community-dwelling, older adults from Ireland to measure baseline supine systolic blood pressure.

Sub‐clinical orthostatic hypotension is associated with greater subjective memory impairment in older adults

This work hypothesised that sub‐clinical orthostatic hypotension would be associated with SMI and explored these associations according to sex.

Orthostatic Hypotension in the Elderly: A Marker of Clinical Frailty?

Orthostatic blood pressure recovery associates with physical performance, frailty and number of falls in geriatric outpatients

DBP recovery was particularly associated with clinical outcome in geriatric outpatients, suggesting BP recovery to be of clinical interest.

Orthostatic hypotension (OH) and mortality in relation to age, blood pressure and frailty.

Association of Orthostatic Hypotension Timing With Clinical Events in Adults With Diabetes and Hypertension: Results From the ACCORD Trial.

Findings support the use of a flexibly timed, single measurement to assess OH in clinical practice and suggest BP treatment goal did not increase risk of OH regardless of timing, and neither single time nor set of measurements were clearly superior with regard to outcomes.

Orthostatic reactions and cognitive dysfunctions in elderly and senile patients with arterial hypertension

A decrease in cognitive functions was observed in patients with COH compared with patients without OHR, and OHR was detected in 31% of patients with arterial hypertension in older age groups.

Diminished Dynamic Physical Performance Is Associated With Orthostatic Hypotension in Geriatric Outpatients

Dynamic physical performance tests with a substantial postural change and center of mass displacement were significantly associated with OH, and the influence of physical performance in daily routine activities should be further explored to establish counteracting interventions.
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