{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:52:37Z","timestamp":1789987957607,"version":"4.0.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T00:00:00Z","timestamp":1556755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>BACKGROUND<\/jats:title>\n                  <jats:p>Orthostatic hypotension (OH) measurement reproducibility is poor. Our objectives were to assess feasibility of self-detection home-measured OH (HOH) and HOH determinants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Subjects older than 65 years, attending a geriatric outpatient clinic, able to understand the HOH protocol: 3 blood pressure (BP) measures after 5 minutes of seating and BP measures after 1 and 3 minutes of standing, each morning and evening for 3 consecutive days were lent a validated digital automatic sphygmomanometer. Reports containing at least 4 correct measurements were deemed a success. Factors associated with HOH were studied.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>HOH feasibility was 82.8% (241 subjects) with no difference between participants who failed or succeeded. Among the 241 subjects (mean age (SD) = 78.0 (8.3) years old; 62.1% of women), 139 were free of HOH, 70 had 1 HOH episode and 32 had 2 or more HOH episodes. Hypertension, dementia, atrial fibrillation, diabetes, and heart failure were found in 70.0%, 10.4%, 9.4%, 8.8%, and 3.4% of cases, respectively. Subjects were treated with antihypertensive, benzodiazepine, statin medication in 47.3%, 9.3%, 7.4% of cases, respectively, and 42.4% experienced polypharmacy. HOH episodes were associated with dementia (P = 0.01), presence of OH during the geriatric outpatient clinic assessment (P = 0.0002), statin therapy (P = 0.04), and polypharmacy (P = 0.0002). In multivariate analysis, benzodiazepine (OR (95% CI) = 2.59 (1.10\u20136.08) and statin medication (OR (95% CI) = 1.92 (1.10\u20133.33)) remained significantly associated with HOH.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>HOH had a good feasibility and relevant determinants. A study to address the predictive value of HOH will be conducted.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ajh\/hpz066","type":"journal-article","created":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T03:09:42Z","timestamp":1555729782000},"page":"824-832","source":"Crossref","is-referenced-by-count":6,"title":["Feasibility and Determinants of Orthostatic Hypotension Self-measurement at Home in an Elderly Community-Dwelling Population"],"prefix":"10.1093","volume":"32","author":[{"given":"Adrien","family":"Cohen","sequence":"first","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-S\u00e9bastien","family":"Vidal","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Roca","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"},{"name":"Service de m\u00e9decine interne g\u00e9riatrique, CHU Rouen, Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanta","family":"Rananja","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Intza","family":"Hernandorena","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Coude du Foresto","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Laure","family":"Seux","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Sophie","family":"Rigaud","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Hanon","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"EA 4468, Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6680-3613","authenticated-orcid":false,"given":"Emmanuelle","family":"Duron","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, AP-HP, H\u00f4pital Broca, Paris, France"},{"name":"APHP, H\u00f4pital Paul Brousse, Villejuif, Paris, France"},{"name":"Universit\u00e9 Paris-Sud XI, Le Kremlin-Bic\u00eatre, Paris, France"},{"name":"Centre de recherche en Epid\u00e9miologie et Sant\u00e9 des Populations, INSERM UMR-1178, Universit\u00e9 Paris-Sud XI, Le Kremlin Bic\u00eatre, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,5,2]]},"reference":[{"key":"2022110718085018500_CIT0001","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/S0895-7061(99)00257-5","article-title":"Orthostatic hypotension and the incidence of coronary heart disease: the Atherosclerosis Risk in Communities study","volume":"13","author":"Rose","year":"2000","journal-title":"Am J Hypertens"},{"key":"2022110718085018500_CIT0002","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1161\/01.HYP.19.6.508","article-title":"Orthostatic hypotension in older adults. 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