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Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29-month follow-up in 499 older nursing home residents
Author(s)Wilbert S Aronow, Chul Ahn
Journal titleJournal of the American Geriatrics Society, vol 45, no 9, September 1997
Pagespp 1051-1053
KeywordsResidents [care homes] ; Nursing homes ; Hypertension ; Fainting ; Falls ; Stroke ; Heart disease ; Death ; Correlation ; United States of America.
AnnotationA US study of 499 nursing home residents aged 62 and older, at 29-month mean follow-up, examined the correlation of maximal reduction in post-prandial systolic blood pressure with the incidence of falls, syncope (fainting), new coronary events, new stroke, and total mortality. At follow-up, falls had occurred in 199 people (40%), syncope in 72 (14%), new coronary events in 139 (28%), new stroke in 61 (12%), and total mortality in 199 (40%). Maximal decrease in post-prandial systolic blood pressure was an independent risk factor for falls, syncope, new coronary events, new stroke, and total mortality. Age was an independent risk factor for new coronary events and for total mortality. Male sex was an independent risk factor for syncope, new coronary events, stroke, and total mortality. Prior falls was an independent risk factor for new falls. Prior syncope was an independent risk factor for new syncope. Prior stroke was an independent factor for new stroke. A marked reduction in post-prandial systolic blood pressure in older nursing home residents was associated at long-term follow-up with a higher incidence of falls, syncope, new coronary events, new stroke, and total mortality. (RH).
Accession NumberCPA-981127202 A
ClassmarkKX: LHB: CQQ: CTF: OLF: CQA: CQH: CW: 49: 7T

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