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Orthostatic hypotension does not predict recurrent falling in a nursing home population
L C Hartog1, M Cimzar-Sweelssen2, A Knipscheer2
1Diabetes Centre, Isala, P.O. Box 10400, 8000 G.K. Zwolle, The Netherlands.
Archives of Gerontology and Geriatrics
|September 13, 2016
Summary
Orthostatic hypotension (OH), a common condition in nursing homes, was investigated for its link to falls. This study found no significant association between OH and fall incidents in nursing home residents.
Area of Science:
- Gerontology
- Clinical Medicine
- Epidemiology
Background:
- Orthostatic hypotension (OH) is often presumed to cause falls in older adults.
- However, robust evidence supporting this causal link is limited.
- Falls and OH are highly prevalent in nursing home settings.
Purpose of the Study:
- To investigate the relationship between orthostatic hypotension and fall incidents.
- To determine if OH is a causal factor for falls in nursing home residents.
Main Methods:
- Prospective observational cohort study.
- Included 249 nursing home residents.
- Utilized Cox proportional hazard and conditional frailty models to analyze fall data.
Main Results:
- 450 falls were recorded among 249 residents.
- Orthostatic hypotension was present in 93 residents.
- No significant association was found between OH and first fall incidents (HR 1.01) or recurrent falling (HR 1.21).
Conclusions:
- Despite high prevalence of both conditions, orthostatic hypotension was not significantly associated with falls in this cohort.
- The assumption of OH as a direct cause of falls in nursing home residents requires further investigation.
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