Document Detail


Orthostatic vital signs in emergency department patients.
MedLine Citation:
PMID:  2039097     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J Koziol-McLain; S R Lowenstein; B Fuller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  20     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-06-28     Completed Date:  1991-06-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  606-10     Citation Subset:  AIM; IM; S    
Affiliation:
Emergency Medicine Research Center, University of Colorado Health Sciences Center, Denver 80262.
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MeSH Terms
Descriptor/Qualifier:
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:
Ann Emerg Med. 1992 Feb;21(2):228-9   [PMID:  1739220 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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