Orthostatic Hypotension Treatment on Rehab Unit

• Status: Completed
• Trial end date: 0000-00-00
• Target enrollment: 356
• Participant gender: Both

Summary

For patients recovering from acute illness, the ability to stand, walk, climb stairs, and participate in therapy are critical to their recovery and eventual discharge to the least restrictive environment. Orthostatic hypotension is a common finding in medically ill adult and elderly patients and is a potentially reversible contributor to functional impairment. This 4-year project will be a randomized controlled trial of a multidisciplinary-multicomponent intervention to determine whether routine identification and treatment of OH improves functional outcomes such as: balance, fall rates, therapy participation, length of stay, transfer to acute care hospital, and discharge location. Routine screening and management of OH may improve outcomes for rehabilitation and long term care patients, as well other high-risk patient populations.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: VA Office of Research and Development
• Last Updated: 2016-08-05

Criteria

Inclusion Criteria:

• All patients admitted to the nursing home, and rehabilitation unit

Exclusion Criteria:

• hospice admission

• respite admission

• long-stay admission

• transplant admission

• inability to stand

• expected length of stay less than 14 days

• patients specifically admitted for treatment of OH

• cognitive dysfunction of such a severity that the admitting provider does not feel the patient could understand the study and safely participate in the data collection

• administrative exclusion, such as safety concerns of staff due to violent tendencies of patient