State of Knowledge Among Nurses Regarding the Screening for Orthostatic Hypotension in Elderly Individuals in Acute Geriatric Medicine and Medical and Rehabilitation Services

NCT07738666 | Not Yet Recruiting

• 1 other identifier: CHRD 1226
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Orthostatic hypotension is a common geriatric syndrome associated with an increased risk of falls, syncope, functional decline and mortality in older adults. Current European recommendations provide standardized procedures for its detection, including blood pressure measurements in the supine and standing positions at specific time intervals. Despite these recommendations, variability in clinical practice and potential gaps in healthcare professionals' knowledge may limit effective screening. The aim of this study is to assess nurses' knowledge and practices regarding orthostatic hypotension screening within the geriatric department of Hôpital NOVO. The study hypothesis is that nurses' knowledge and practices regarding orthostatic hypotension screening are heterogeneous and may differ from current recommendations.

Conditions

Orthostatic Hypotension

Keywords

orthostatic hypotension; aged patients; geriatry; nurses; acute geriatric care (AGC); long-term care (SMR)

Outcome Measures

Primary Outcomes (1)

• Assessment of the knowledge level of nurses working in geriatrics regarding orthostatic hypotension

  The nurses' level of knowledge will be assessed using a questionnaire which they will complete either in person or online via the secure Microsoft Forms platform. This questionnaire consists of 3 parts: - Definition of orthostatic hypotension (Question 2.1) - Measurement methods (Question 3) - Diagnostic criteria (Questions 2.2 and 2.3)

  Through study completion, an average of 1 year

Secondary Outcomes (3)

• Evaluate the influence of the nurse's experience on their knowledge regarding the screening for orthostatic hypotension in the elderly.

  Through study completion, an average of 1 year

• Evaluate the influence of experience in geriatrics on the RN's knowledge regarding the screening for orthostatic hypotension in the elderly.

  Through study completion, an average of 1 year

• Compare the level of knowledge between RNs working in acute geriatric care (AGC) and in long-term care (SMR)

  Through study completion, an average of 1 year

Interventions

Administration of questionnaires on nurses' knowledge of orthostatic hypotension, its measurement, diagnosis and management OTHER

Administration of questionnaires on nurses' knowledge of orthostatic hypotension, its measurement, diagnosis and management

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Aged patients with orthostatic hypotension.

You may qualify if:

• State-registered nurses
• Working in the Acute Geriatric Medicine department (Pontoise site), or in the Medical Care and Rehabilitation department (SMR: Marines or Pontoise sites) of NOVO Hospital

You may not qualify if:

• Patient refusal

Sponsors & Collaborators

• Hôpital NOVO: lead

Study Sites (1)

Hopital Novo

Pontoise, 95300, France

Location

Related Publications (5)

• Mancia G, Kreutz R, Brunstrom M, Burnier M, Grassi G, Januszewicz A, Muiesan ML, Tsioufis K, Agabiti-Rosei E, Algharably EAE, Azizi M, Benetos A, Borghi C, Hitij JB, Cifkova R, Coca A, Cornelissen V, Cruickshank JK, Cunha PG, Danser AHJ, Pinho RM, Delles C, Dominiczak AF, Dorobantu M, Doumas M, Fernandez-Alfonso MS, Halimi JM, Jarai Z, Jelakovic B, Jordan J, Kuznetsova T, Laurent S, Lovic D, Lurbe E, Mahfoud F, Manolis A, Miglinas M, Narkiewicz K, Niiranen T, Palatini P, Parati G, Pathak A, Persu A, Polonia J, Redon J, Sarafidis P, Schmieder R, Spronck B, Stabouli S, Stergiou G, Taddei S, Thomopoulos C, Tomaszewski M, Van de Borne P, Wanner C, Weber T, Williams B, Zhang ZY, Kjeldsen SE. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023 Dec 1;41(12):1874-2071. doi: 10.1097/HJH.0000000000003480. Epub 2023 Sep 26.

  PMID: 37345492 BACKGROUND

• Whelton PK, Carey RM, Aronow WS, et al. Orthostatic Hypotension. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024

  BACKGROUND

• McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, Christodorescu RM, Daskalopoulou SS, Ferro CJ, Gerdts E, Hanssen H, Harris J, Lauder L, McManus RJ, Molloy GJ, Rahimi K, Regitz-Zagrosek V, Rossi GP, Sandset EC, Scheenaerts B, Staessen JA, Uchmanowicz I, Volterrani M, Touyz RM; ESC Scientific Document Group. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. Eur Heart J. 2024 Oct 7;45(38):3912-4018. doi: 10.1093/eurheartj/ehae178. No abstract available.

  PMID: 39210715 BACKGROUND

• Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, Cheshire WP, Chelimsky T, Cortelli P, Gibbons CH, Goldstein DS, Hainsworth R, Hilz MJ, Jacob G, Kaufmann H, Jordan J, Lipsitz LA, Levine BD, Low PA, Mathias C, Raj SR, Robertson D, Sandroni P, Schatz I, Schondorff R, Stewart JM, van Dijk JG. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res. 2011 Apr;21(2):69-72. doi: 10.1007/s10286-011-0119-5. No abstract available.

  PMID: 21431947 BACKGROUND

• Ricci F, De Caterina R, Fedorowski A. Orthostatic Hypotension: Epidemiology, Prognosis, and Treatment. J Am Coll Cardiol. 2015 Aug 18;66(7):848-860. doi: 10.1016/j.jacc.2015.06.1084.

  PMID: 26271068 BACKGROUND

MeSH Terms

Conditions

Hypotension, Orthostatic

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Orthostatic Intolerance; Primary Dysautonomias; Autonomic Nervous System Diseases; Nervous System Diseases; Hypotension; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Lila HIRED

  Hôpital NOVO

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mathilde WLODARCZYK

CONTACT

0130754650; mathilde.wlodarczyk@ght-novo.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 7, 2026
• First Posted: July 31, 2026
• Study Start: July 1, 2026
• Primary Completion (Estimated): October 1, 2026
• Study Completion (Estimated): October 1, 2026
• Last Updated: July 31, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)