Evaluation of the Effect of Hydration About Orthostatic Hypotension in the Elderly. Difference With Venous Compression (CHHO)
Evaluation of the Effect of Hydration About Orthostatic Hypotension in the Elderly. Difference With Venous Compression. A Randomized Controlled Crossover Trial.
Primary objective: To compare the decrease in systolic blood pressure between hydration and venous contention when switching to a standing position. Hypothesis in that hydration is better than venous contention.
Secondary objective: To evaluate the effect of hydration on lowering systolic blood pressure during the passage standing in elderly patients with orthostatic hypotension.
Inclusion criteria: Patient aged over 75 years old with orthostatic hypotension proved to 1 and / or 3 min
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Day 0: confirmation of the orthostatic hypotension, without prevented measures
Two groups randomized :
- Group 1: First day (day 1), Orthostatic Hypotension test after hydration by three large glasses of clear liquid (33cl). Second day (day 2), Orthostatic Hypotension test with venous contention in the morning.
- Group 2: First day (day 1), Orthostatic Hypotension test after implementation of venous contention in the morning. Second day (day 2), Orthostatic Hypotension after hydration by three large glasses of clear liquid (33cl).
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Athanase Benetos, Pr
- Phone Number: 0383153322
- Email: a.benetos@chu-nancy.fr
Study Contact Backup
- Name: Marion Serot Gresser
- Phone Number: 0664524831
- Email: mariongresser@hotmail.fr
Study Locations
-
-
-
Nancy, France, 54000
- Recruiting
- Centre Hospitalier Régional Universitaire de Nancy
-
Contact:
- Athanase Benetos, Pr
- Phone Number: 0383153322
- Email: a.benetos@chu-nancy.fr
-
Contact:
- Marion Serot Gresser
- Phone Number: 0664524831
- Email: mariongresser@hotmail.fr
-
Principal Investigator:
- Athanase Benetos
-
Nancy, France, 54000
- Recruiting
- Maison Hospitalière Saint Charles
-
Contact:
- NOEL-RUEF Marie-Hélène
- Phone Number: 03.83.17.58.07
- Email: mh.noel@saint-charles.fr
-
Contact:
- GRESSER Marion
- Phone Number: 06.64.52.48.31
- Email: mariongresser@hotmail.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient aged 75 and older with orthostatic hypotension proved to 1 and / or 3 minutes.
- Written consent of the subject
- Hospitalization or stay expected minimum 3 days
- Affiliation to a social security scheme
Exclusion Criteria:
- bedridden patient or without possibility of verticalization
- Patient who can't stand up (pulmonary embolism with high risk)
- Patient who refuse to participate in the study
- Patient with legal protection
- State or condition that may affect the stability of blood pressure during the study (hyperthermia, modification antihypertensive treatments less than 48 hours before inclusion...)
- Pathology preventing hydration: Heart failure with less than 1 Liter water restriction, swallowing disorders preventing hydration orally, inability to nutrition and hydration orally
- Intravenous or subcutaneous hydration (intravenous or subcutaneous treatments not included)
- Patient who can't have venous contention: Blue phlebitis, septic thrombosis, arteritis with score less than 0.6, varicose ulcers during treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: Hydration
•Group 1: First day, Orthostatic Hypotension test after hydration by three large glasses of clear liquid (33cl).
Second day, Orthostatic Hypotension test with venous contention in the morning.
|
Hydratation the first day in the arm 1 Hydration the second day in the arm 2
Venous contention the second day in the arm 1 Venous contention the first day in the arm 2
|
|
ACTIVE_COMPARATOR: Venous contention
•Group 2: First day, Orthostatic Hypotension test after implementation of venous contention in the morning.
Second day, Orthostatic Hypotension test after hydration by three large glasses of clear liquid (33cl).
|
Hydratation the first day in the arm 1 Hydration the second day in the arm 2
Venous contention the second day in the arm 1 Venous contention the first day in the arm 2
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
difference in systolic blood pressure between sitting and standing at 1 and 3 minutes between hypotension test with hydration and hypotension test with venous contention
Time Frame: during 3 days: day 0, day 1, day 2
|
during 3 days: day 0, day 1, day 2
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
difference in systolic blood pressure between sitting and standing at 1 and 3 minutes between hypotension test with hydration and hypotension test without prevention
Time Frame: during 3 days: at day 0, day 1, day 2
|
during 3 days: at day 0, day 1, day 2
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Athanase Benetos, Pr, Chu Brabois
Publications and helpful links
General Publications
- Gorelik O, Almoznino-Sarafian D, Litvinov V, Alon I, Shteinshnaider M, Dotan E, Modai D, Cohen N. Seating-induced postural hypotension is common in older patients with decompensated heart failure and may be prevented by lower limb compression bandaging. Gerontology. 2009;55(2):138-44. doi: 10.1159/000141920. Epub 2008 Jun 27.
- Tyberghein M, Philips JC, Krzesinski JM, Scheen AJ. [Orthostatic hypotension: definition, symptoms, assessment and pathophysiology]. Rev Med Liege. 2013 Feb;68(2):65-73. French.
- Schols JM, De Groot CP, van der Cammen TJ, Olde Rikkert MG. Preventing and treating dehydration in the elderly during periods of illness and warm weather. J Nutr Health Aging. 2009 Feb;13(2):150-7. doi: 10.1007/s12603-009-0023-z.
- Rutan GH, Hermanson B, Bild DE, Kittner SJ, LaBaw F, Tell GS. Orthostatic hypotension in older adults. The Cardiovascular Health Study. CHS Collaborative Research Group. Hypertension. 1992 Jun;19(6 Pt 1):508-19. doi: 10.1161/01.hyp.19.6.508.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Completion (ANTICIPATED)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2014-A00695-42
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