Postprandial hypotension in long-term care elderly patients on enteral feeding

Emily Lubart, Refael Segal, Yehuda Baumoehl, Marina Matron, Arthur Leibovitz

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: To examine the prevalence and nature of postprandial hypotension (PPH) in orally fed (OF), nasogastric tube (NGT)-fed, and percutaneous endoscopic gastrostomy (PEG)-fed older people. DESIGN: Prospective comparative study. SETTING: Nursing and skilled nursing wards of three geriatrics hospitals. PARTICIPANTS: Three groups (OF, PEG, NGT) of long-term care patients (50 in each cohort) were enrolled. MEASUREMENTS: Blood pressure (BP) and heart rate measurements were obtained just before lunch and at 15-minute intervals for 90 minutes after the completion of the meal. The meals were similar in caloric content and composition. RESULTS: PPH was evidenced in 64 (43%) patients. No significant intergroup (OF, PEG, NGT) differences were present. In 68% of PPH patients, the systolic BP (SBP) drop appeared within 30 minutes, and 70% reached their systolic nadir at 60 minutes. In 31%, the SBP drop was registered on only one measurement, whereas in 25%, the drop was detected on five to six measurements. All parameters were without notable intergroup differences. CONCLUSION: In enterally fed elderly patients (NGT or PEG), the rate and pattern of PPH are similar and not significantly different from that observed in OF patients.

Original languageEnglish
Pages (from-to)1377-1381
Number of pages5
JournalJournal of the American Geriatrics Society
Volume54
Issue number9
DOIs
StatePublished - Sep 2006

Keywords

  • Nasogastric tube feeding
  • Percutaneous enterogastrostomy feeding
  • Postprandial hypotension

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