Hendri, Michelle Angelina, Sarvasti, Dyana and Isbandiati, Endang (2025) Comparative Analysis of Postural Hypotension Incidence Based on Hypertension Control Status in the Elderly. JOURNAL OF WIDYA MEDIKA JUNIOR, 7 (2). pp. 64-69. ISSN 26561409
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Abstract
Background: The prevalence and severity of hypertension increase with age. Based on control status, more elderly individuals suffer from uncontrolled hypertension than from controlled hypertension. Some studies have shown that hypertension is associated with the risk of postural hypotension. Postural hypotension can lead to serious consequences, but it is often unnoticed due to the absence of symptoms, and there is still a misconception linking the use of antihypertensive medications to the onset of postural hypotension. Therefore, the researcher aims to examine the differences in the incidence of postural hypotension based on the status of controlled and uncontrolled hypertension in elderly patients. Objective: To assess the difference in the incidence of postural hypotension based on the hypertension control status in elderly patients at the Mojokerto Health Center. Method: This study is an observational analytic research with a cross-sectional design and purposive sampling technique. Data was collected from direct interviews, medical records of blood pressure history, and postural blood pressure examinations of elderly patients at the Tawang Sari Health Center, Kranggan Health Center, and Kedundung Health Center in Mojokerto during July to August 2024. Results: Among 34 elderly patients with controlled hypertension and 34 elderly patients with uncontrolled hypertension, the incidence of postural hypotension was higher in those with uncontrolled hypertension (88.89%) compared to those with controlled hypertension (11.11%). Fisher’s exact test analysis showed a p-value of 0.027 (p<0.05) with a prevalence ratio (PR) of 8. Conclusion: There is a significant difference in the incidence of postural hypotension based on the control status of hypertension (controlled vs. uncontrolled) in elderly patients. Patients with uncontrolled hypertension are eight times more likely to experience postural hypotension than those with controlled hypertension.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Hypertension control status; controlled hypertension; uncontrolled hypertension; postural hypotension; elderly. |
| Subjects: | Medicine |
| Divisions: | Journal Publication |
| Depositing User: | F.X. Hadi |
| Date Deposited: | 08 Sep 2025 04:26 |
| Last Modified: | 08 Sep 2025 04:26 |
| URI: | https://repositori.ukwms.ac.id/id/eprint/44472 |
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