Orthostatic Hypotension in Rehabilitation Patients
| Status: | Completed |
|---|---|
| Conditions: | Cardiology, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | November 2005 |
| End Date: | September 2008 |
The purpose of this study is to determine the prevalence and clinical course of orthostatic
hypotension (OH) on a rehabilitation and nursing home unit during their inpatient stay and
to initiate a standardized, interdisciplinary treatment plan for patients with OH and
determine the effect of treatment on the clinical course of OH during their inpatient stay.
hypotension (OH) on a rehabilitation and nursing home unit during their inpatient stay and
to initiate a standardized, interdisciplinary treatment plan for patients with OH and
determine the effect of treatment on the clinical course of OH during their inpatient stay.
This study is a prospective, quasi-experiment conducted in two consecutive phases. During
the observation phase, eligible patients are identified and followed through their usual
course of care in the nursing home/rehabilitation unit. During the intervention phase,
patients enrolled who have OH will receive the intervention. Patients will be enrolled over
two research phases and the investigators expect to evaluate 459 subjects. This research
program will occur over a three-year period.
Methods:
During Phase I, baseline prevalence and natural history of OH will be determined by:
enrolling consecutive appropriate subjects (able to stand, not end of life care) from a
rehabilitation and nursing home unit and measuring OH 3 times weekly over their inpatient
stay. In addition, chart review of diagnoses, medications, functional status, nutrition, and
adverse events will be evaluated and correlated with clinical status. During Phase II, the
investigators will implement a standardized, interdisciplinary (MD/RN/PT/Dietician)
treatment plan for patients with OH. This will include chart review of diagnoses,
medications, functional status, nutrition, adverse events, and correlation with clinical
status. The goals of the interventions are to identify and treat the underlying causes of OH
in rehabilitation patients. Based upon the comprehensive assessment, intervention
participants will receive a standardized, interdisciplinary treatment regime.
the observation phase, eligible patients are identified and followed through their usual
course of care in the nursing home/rehabilitation unit. During the intervention phase,
patients enrolled who have OH will receive the intervention. Patients will be enrolled over
two research phases and the investigators expect to evaluate 459 subjects. This research
program will occur over a three-year period.
Methods:
During Phase I, baseline prevalence and natural history of OH will be determined by:
enrolling consecutive appropriate subjects (able to stand, not end of life care) from a
rehabilitation and nursing home unit and measuring OH 3 times weekly over their inpatient
stay. In addition, chart review of diagnoses, medications, functional status, nutrition, and
adverse events will be evaluated and correlated with clinical status. During Phase II, the
investigators will implement a standardized, interdisciplinary (MD/RN/PT/Dietician)
treatment plan for patients with OH. This will include chart review of diagnoses,
medications, functional status, nutrition, adverse events, and correlation with clinical
status. The goals of the interventions are to identify and treat the underlying causes of OH
in rehabilitation patients. Based upon the comprehensive assessment, intervention
participants will receive a standardized, interdisciplinary treatment regime.
Inclusion Criteria:
- Admitted to Vancouver VA Nursing Home or Rehabilitation ward
Exclusion Criteria:
- Unable to stand upon admission
- Hospice admission
- Respite admission
We found this trial at
1
site
Click here to add this to my saved trials
