血压变化与养老院居民的下降有关
El Hassan Soultan1, Anjandeep Hara1, Peter Knutson1
1Department of Geriatrics, University of North Dakota, School of Medicine and Health Sciences, Grand Forks, North Dakota, USA.
Geriatrics & gerontology international
|November 3, 2024
概括
老年人高血压变化 (BPV) 与跌倒频率增加和跌倒间隔缩短有关. 监测BPV可能有助于识别需要增强跌倒预防策略的个人.
科学领域:
- 老年医学 老年医学
- 心血管健康 心血管健康
- 预防跌倒 预防跌倒
背景情况:
- 高血压变性 (BPV) 与不良的临床结果有关,包括痴呆症,心血管问题和脆弱性.
- 这项研究研究了在老年养老院住户中缩血压变化和跌倒频率之间的关系.
研究的目的:
- 为了检查系统血压变化 (BPV) 与老年人跌倒频率之间的关联.
- 评估BPV与该种群下一次下降的时间之间的相关性.
主要方法:
- 在10个月的时间里,对65岁及以上的养老院居民的医疗记录进行了回顾性分析.
- 系统性血压变化 (BPV) 被计算为17-20读数的标准偏差.
- 评估了BPV四分位数与下降频率/下一次下降的时间之间的相关性.
主要成果:
- 对100张图表的分析揭示了近2000个血压数据点;所有参与者至少有一次下降.
- 较高的BPV与较高的跌倒频率和较短的跌倒间隔相关.
- 高血压和跌倒之间的关联受高血压和特定诊断的亚组的影响.
结论:
- 在老年人中频繁的落显示出更高的血压变化.
- 降落频率的增加与增加的血压变异性并行.
- BPV可以作为生物标志物来识别可能受益于加强降落减少干预措施的患者.
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