| Orthostatic vital signs in emergency department patients. | |
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MedLine Citation:
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PMID: 2039097 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To examine the variability and define the normal ranges of orthostatic vital signs in an emergency department population. DESIGN: Descriptive. TYPE OF PARTICIPANTS: Adult ED patients with no history of recent blood or fluid losses. MEASUREMENTS: Lying and standing heart rate and blood pressure measured by an automated instrument. RESULTS: In 132 presumed euvolemic patients, the statistical normal ranges (mean +/- 2 SD) of orthostatic vital signs were wide: on standing, the heart rate range was from decreases 5.0 to increases 39.4 beats per minute; for systolic blood pressure, the range was decreases 20 to increases 25.7 mm Hg; and for diastolic blood pressure, the range was decreases 6.4 to increases 24.9 mm Hg. In this sample, 43% had "positive" orthostatic vital signs according to currently accepted values. CONCLUSION: The data from this study indicate that there is a wider than expected variation in orthostatic vital signs among presumed euvolemic ED patients. |
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Authors:
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J Koziol-McLain; S R Lowenstein; B Fuller |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of emergency medicine Volume: 20 ISSN: 0196-0644 ISO Abbreviation: Ann Emerg Med Publication Date: 1991 Jun |
Date Detail:
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Created Date: 1991-06-28 Completed Date: 1991-06-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 606-10 Citation Subset: AIM; IM; S |
Affiliation:
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Emergency Medicine Research Center, University of Colorado Health Sciences Center, Denver 80262. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Blood Pressure Determination / instrumentation, standards* Circadian Rhythm Diastole Dizziness / epidemiology, etiology Emergency Service, Hospital* Female Heart Rate Humans Hypotension, Orthostatic / complications, epidemiology, physiopathology* Male Posture Reference Values Reproducibility of Results Sensitivity and Specificity Supination Systole Thirst / physiology |
| Comments/Corrections | |
Comment In:
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Ann Emerg Med. 1992 Feb;21(2):228-9
[PMID:
1739220
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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