Postprandial hypotension in long-term care elderly patients on enteral feeding.

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  • Additional Information
    • Source:
      Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print Cited Medium: Print ISSN: 0002-8614 (Print) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE
    • Publication Information:
      Publication: Malden, MA : Blackwell Science
      Original Publication: New York [etc.]
    • Subject Terms:
      Enteral Nutrition* ; Long-Term Care* ; Postprandial Period*; Hypotension/*epidemiology; Aged ; Aged, 80 and over ; Case-Control Studies ; Female ; Hospitals, Special ; Humans ; Male ; Nursing Homes ; Prevalence ; Prospective Studies
    • Abstract:
      Objectives: To examine the prevalence and nature of postprandial hypotension (PPH) in orally fed (OF), nasogastric tube (NGT)-fed, and percutaneous endoscopic gastrostomy (PEG)-fed older people.
      Design: Prospective comparative study.
      Setting: Nursing and skilled nursing wards of three geriatrics hospitals.
      Participants: Three groups (OF, PEG, NGT) of long-term care patients (50 in each cohort) were enrolled.
      Measurements: Blood pressure (BP) and heart rate measurements were obtained just before lunch and at 15-minute intervals for 90 minutes after the completion of the meal. The meals were similar in caloric content and composition.
      Results: PPH was evidenced in 64 (43%) patients. No significant intergroup (OF, PEG, NGT) differences were present. In 68% of PPH patients, the systolic BP (SBP) drop appeared within 30 minutes, and 70% reached their systolic nadir at 60 minutes. In 31%, the SBP drop was registered on only one measurement, whereas in 25%, the drop was detected on five to six measurements. All parameters were without notable intergroup differences.
      Conclusion: In enterally fed elderly patients (NGT or PEG), the rate and pattern of PPH are similar and not significantly different from that observed in OF patients.
    • Publication Date:
      Date Created: 20060915 Date Completed: 20061020 Latest Revision: 20080310
    • Publication Date:
      20221213
    • Accession Number:
      10.1111/j.1532-5415.2006.00839.x
    • Accession Number:
      16970645