Seasonal changes in blood pressure and related factors among older patients receiving home medical care
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- Koujiya Eriko
- Division of Health Sciences, Osaka University Graduate School of Medicine
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- Kabayama Mai
- Division of Health Sciences, Osaka University Graduate School of Medicine
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- Yamamoto Mariko
- Otemae University, Faculty of Global Nursing
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- Higami Yoko
- Osaka Medical College, Faculty of Nursing
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- Kodama Kana
- Division of Medicine, Osaka University Graduate School of Medicine
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- Mukai Sakino
- Division of Health Sciences, Osaka University Graduate School of Medicine
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- Yano Tomoko
- Division of Health Sciences, Osaka University Graduate School of Medicine
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- Nako Yumiko
- Division of Health Sciences, Osaka University Graduate School of Medicine
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- Nakamura Toshinori
- Nakamura Clinic
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- Hirotani Atsushi
- Hirotani Clinic
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- Fukuda Toshio
- Fukuda Clinic
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- Tamatani Michio
- Tamatani Clinic
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- Okuda Yoshinari
- Okuda Clinic
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- Ikushima Masashi
- Ikushima Clinic
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- Baba Yoshichika
- Baba Clinic
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- Nagano Masahiro
- Nagano Clinic
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- Rakugi Hiromi
- Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine
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- Kamide Kei
- Division of Health Sciences, Osaka University Graduate School of Medicine Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 訪問診療を受療する在宅療養高齢者における血圧季節変動の実態とその要因に関する検討―OHCARE研究―
- ホウモン シンリョウ オ ジュリョウスル ザイタク リョウヨウ コウレイシャ ニ オケル ケツアツ キセツ ヘンドウ ノ ジッタイ ト ソノ ヨウイン ニ カンスル ケントウ : OHCARE ケンキュウ
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Description
<p>Aim: We investigated seasonal variations in blood pressure (BP) and factors related to these variations among older patients receiving home medical care.</p><p>Method: A total 57 patients ≥ 65 years old receiving home medical care who participated in the Osaka Home Care REgistry study (OHCARE), a prospective cohort study, were included. We investigated the seasonal patient characteristics and variations in the BP. In addition, to determine the influence of seasonal variations in the systolic blood pressure (SBP) on the occurrence of clinical events (hospitalization, falls and death), we classified patients into larger- and smaller- change groups based on the median seasonal variations in SBP.</p><p>Result: About 60% of subjects were very frail or bedridden. The mean BP was higher in winter than in summer (124.7±11/69.5±7 vs.120.5±12/66.9±8 mmHg) (P< 0.01). On comparing the characteristics of the two groups with larger and smaller changes in the SBP, the group with large BP changes had a significantly lower BP in summer than the group with small BP changes. In addition, the incidence of "hospitalization" was significantly higher in the group with large BP changes than in the group with small BP changes (P = 0.03).</p><p>Conclusion: The present study revealed that there were seasonal changes in the BP in older patients receiving home medical care. It was also suggested that seasonal changes in the BP might be associated with the risk of hospitalization events. Given these BP variations, doctors and visiting nurses should be alert for systemic abnormalities, especially in frail patients receinving home medical care.</p>
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 58 (4), 602-609, 2021-10-25
The Japan Geriatrics Society
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Details 詳細情報について
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- CRID
- 1390008841537187712
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- NII Article ID
- 130008126252
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- NII Book ID
- AN00199010
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- NDL BIB ID
- 031861462
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- ISSN
- 03009173
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- PubMed
- 34880179
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL Search
- Crossref
- CiNii Articles
- KAKEN
- OpenAIRE
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- Abstract License Flag
- Disallowed
