Volume 22 Issue 11
Nov.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(11): 1850-1853
HUO Chuning, LI Guanfei, LI Song. Analysis of risk factors for orthostatic hypotension in the elderly[J]. Chinese Journal of General Practice, 2024, 22(11): 1850-1853. doi: 10.16766/j.cnki.issn.1674-4152.003748
Citation: HUO Chuning, LI Guanfei, LI Song. Analysis of risk factors for orthostatic hypotension in the elderly[J]. Chinese Journal of General Practice, 2024, 22(11): 1850-1853. doi: 10.16766/j.cnki.issn.1674-4152.003748
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Analysis of risk factors for orthostatic hypotension in the elderly

doi: 10.16766/j.cnki.issn.1674-4152.003748
  • 1.

    School of Clinical Medicine, Changchun University of Traditional Chinese Medicine, Changchun, Jilin 130117, China

Funds:

 20200403121SF

  • Received Date: 2024-02-28
    Available Online: 2024-12-31
    Abstract
  •   Objective  To explore the prevalence rate and risk factors of orthostatic hypotension (OH) in the elderly, and to provide scientific basis for optimizing blood pressure adjustment measures in elderly OH patients.  Methods  Medical history collection, systolic and diastolic blood pressure and heart rate measurement within 1-3 minutes of lying and standing position were performed on 360 patients aged ≥60 years from January to December 2023. According to the results of lying and standing blood pressure, the study subjects were divided into OH group (47 cases) and non-OH group (313 cases). SPSS 20.0 statistical software was used for descriptive statistical analysis of the OH prevalence in the elderly, and multiple logistic regression model was used to analyze the risk factors affecting the prevalence of OH.  Results  (1) The prevalence of OH in the elderly was 13.1% (47/360), and the prevalence increased with age (P < 0.001). (2) Age (t=11.603, P < 0.001), supine systolic blood pressure (t=3.427, P=0.001), orthostatic systolic blood pressure (t=3.712, P < 0.001), orthostatic diastolic blood pressure (t=3.731, P < 0.001), and hypertension (χ2=32.093, P < 0.001) were significant differences between OH group and non-OH group. (3)The results of the multivariate logistic regression analysis indicated that age, supine systolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, and hypertension are risk factors for orthostatic hypotension.  Conclusion  The prevalence of OH is higher in the elderly, and the prevalence increases with age. The prevalence rate of OH in patients with hypertension is significantly higher than that of the general population, and targeted intervention should be carried out early.

     

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