The effect of sleeping with the head of the bed elevated six inches on elderly patients with orthostatic hypotension: an open randomised controlled trial.

Hdl Handle:
http://hdl.handle.net/10147/135052
Title:
The effect of sleeping with the head of the bed elevated six inches on elderly patients with orthostatic hypotension: an open randomised controlled trial.
Authors:
Fan, Chie Wei; Walsh, Cathal; Cunningham, Conal J
Affiliation:
Mercer's Institute for Research on Ageing (MIRA), St James's Hospital, Dublin 8, Ireland. cfan@stjames.ie
Citation:
The effect of sleeping with the head of the bed elevated six inches on elderly patients with orthostatic hypotension: an open randomised controlled trial. 2011, 40 (2):187-92 Age Ageing
Journal:
Age and ageing
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/135052
DOI:
10.1093/ageing/afq176
PubMed ID:
21233091
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21233091
Abstract:
the evidence for 6-inch tilt sleeping-head-up (SHU), a common therapy for the treatment of orthostatic hypotension (OH) in older people, is unavailable.; to investigate the effects of 6-inch SHU for 6 weeks in community-living patients with chronic OH.; open labelled randomised controlled trial.; one hundred patients aged ≥60 with chronic OH were randomised into SHU or control groups. Primary outcome measures were mean arterial pressure (MAP) and symptoms. Repeated measures of orthostatic haemodynamic parameters (systolic blood pressure, diastolic blood pressure, MAP, heart rate, percentage change of Modelflow parameters), weight, frequency of dizziness, 24-h urinary sodium and volume, 24-h ambulatory blood pressure (24-ABPM) and presence of ankle oedema were collected at baseline and at 6 weeks.; symptoms improved, to a similar extent, in both groups. There were no differences in MAP or other haemodynamic parameters, weight, urinary volume or 24-ABPM between SHU and controls. SHU were more likely to have leg oedema.; these findings suggested that SHU at 6 inches has no additional effects on symptoms or haemodynamic parameters at 6 weeks than existing non-pharmacological measures in older patients with OH. Its use in this group should therefore be discouraged.
Item Type:
Article
Language:
en
MeSH:
Age Factors; Aged; Aged, 80 and over; Aging; Analysis of Variance; Beds; Blood Pressure Monitoring, Ambulatory; Chronic Disease; Edema; Female; Hemodynamics; Humans; Hypotension, Orthostatic; Independent Living; Male; Middle Aged; Posture; Sleep; Time Factors; Treatment Outcome; Urodynamics
ISSN:
1468-2834

Full metadata record

DC FieldValue Language
dc.contributor.authorFan, Chie Weien
dc.contributor.authorWalsh, Cathalen
dc.contributor.authorCunningham, Conal Jen
dc.date.accessioned2011-07-01T10:48:54Z-
dc.date.available2011-07-01T10:48:54Z-
dc.date.issued2011-03-
dc.identifier.citationThe effect of sleeping with the head of the bed elevated six inches on elderly patients with orthostatic hypotension: an open randomised controlled trial. 2011, 40 (2):187-92 Age Ageingen
dc.identifier.issn1468-2834-
dc.identifier.pmid21233091-
dc.identifier.doi10.1093/ageing/afq176-
dc.identifier.urihttp://hdl.handle.net/10147/135052-
dc.description.abstractthe evidence for 6-inch tilt sleeping-head-up (SHU), a common therapy for the treatment of orthostatic hypotension (OH) in older people, is unavailable.-
dc.description.abstractto investigate the effects of 6-inch SHU for 6 weeks in community-living patients with chronic OH.-
dc.description.abstractopen labelled randomised controlled trial.-
dc.description.abstractone hundred patients aged ≥60 with chronic OH were randomised into SHU or control groups. Primary outcome measures were mean arterial pressure (MAP) and symptoms. Repeated measures of orthostatic haemodynamic parameters (systolic blood pressure, diastolic blood pressure, MAP, heart rate, percentage change of Modelflow parameters), weight, frequency of dizziness, 24-h urinary sodium and volume, 24-h ambulatory blood pressure (24-ABPM) and presence of ankle oedema were collected at baseline and at 6 weeks.-
dc.description.abstractsymptoms improved, to a similar extent, in both groups. There were no differences in MAP or other haemodynamic parameters, weight, urinary volume or 24-ABPM between SHU and controls. SHU were more likely to have leg oedema.-
dc.description.abstractthese findings suggested that SHU at 6 inches has no additional effects on symptoms or haemodynamic parameters at 6 weeks than existing non-pharmacological measures in older patients with OH. Its use in this group should therefore be discouraged.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21233091en
dc.subject.meshAge Factors-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAging-
dc.subject.meshAnalysis of Variance-
dc.subject.meshBeds-
dc.subject.meshBlood Pressure Monitoring, Ambulatory-
dc.subject.meshChronic Disease-
dc.subject.meshEdema-
dc.subject.meshFemale-
dc.subject.meshHemodynamics-
dc.subject.meshHumans-
dc.subject.meshHypotension, Orthostatic-
dc.subject.meshIndependent Living-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPosture-
dc.subject.meshSleep-
dc.subject.meshTime Factors-
dc.subject.meshTreatment Outcome-
dc.subject.meshUrodynamics-
dc.titleThe effect of sleeping with the head of the bed elevated six inches on elderly patients with orthostatic hypotension: an open randomised controlled trial.en
dc.typeArticleen
dc.contributor.departmentMercer's Institute for Research on Ageing (MIRA), St James's Hospital, Dublin 8, Ireland. cfan@stjames.ieen
dc.identifier.journalAge and ageingen
dc.description.provinceLeinster-

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