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The two scientific societies FADOI and SIIA have decided to start a collaborative study protocol that, through the application of a simple and homogeneous method to diagnose orthostatic hypotension, aims to estimate prevalence, conditions associates and outcomes in a cohort of patients admitted to Internal Medicine Departments and with known or newly diagnosed arterial hypertension.
The IP-OP study, is an observational, multicenter, prospective, national study that provides for the involvement of 34 Operating Units of Internal Medicine, and the recording of data relating to 1000 hospitalized adults.
The clinical data of all consecutive patients diagnosed with arterial hypertension hospitalized in Internal Medicine and able to take the erect station will be collected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hypertensive Patients Hospitalized in Internal Medicine | Clinical data will be collected from all consecutive patients diagnosed with arterial hypertension hospitalized in Internal Medicine and able to assume the erect station |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| no experimental intervention | Other | There will not be any experimental intervention. The study will be conducted according with normal clinical practice |
|
| Measure | Description | Time Frame |
|---|---|---|
| clinical conditions ( physiological parameters, copatologies) associated with the presence of orthostatic hypotension | Identification, through a multivariate analysis, of the clinical conditions associated with the presence of orthostatic hypotension in the population of hypertensive patients admitted to Internal Medicine | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of orthostatic hypotension | Prevalence of orthostatic hypotension among hypertensive patients admitted to Internal Medicine | 4 months |
| Gender differences in prevalence and conditions associated with orthostatic hypotension |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive patients diagnosed with arterial hypertension hospitalized in Internal Medicine and able to assume the erect station
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| Name | Affiliation | Role |
|---|---|---|
| Andrea Fontanella, MD | FADOI FOUNDATION | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ospedale Civile | Legnano | (MI) | Italy | |||
| Ospedale "S. Maria" |
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Assessment of possible gender differences in prevalence and conditions associated with orthostatic hypotension
| 4 months |
| Level of cognitive impairment of the subjects studied, and relationship with orthostatic hypotension | Evaluation in the initial visit of the level of cognitive impairment of the subjects studied, and relationship with orthostatic hypotension | 4 months |
| Relationship between orthostatic hypotension and a Fragility Index | Evaluation of the relationship between orthostatic hypotension and a Fragility Index | 4 months |
| Relationship between orthostatic hypotension and comorbidity by calculating the index of Charlson comorbidity | Evaluation of the relationship between orthostatic hypotension and comorbidity by calculating the index of Charlson comorbidity | 4 months |
| Prescription drugs on the presence and severity of hypotension Orthostatic | Analysis of the impact of prescription drugs on the presence and severity of hypotension Orthostatic | 4 months |
| Presence of orthostatic hypertension | Evaluation of the presence of orthostatic hypertension | 4 months |
| After 6-12-24-36 months from the index hospitalization, of the state of health of all the subjects evaluated | Evaluation, after 6-12-24-36 months from the index hospitalization, of the state of health of all the subjects evaluated, reporting the possible onset of falls, major cardiovascular events (stroke, TIA, myocardial infarction, arrhythmias) or death. | 6-12-24-36 months from hospitalization |
| Borgo Val di Taro |
| (PR) |
| Italy |
| Ospedale Luini Confalonieri | Luino | (VA) | Italy |
| P.O. di Rete Bassano | Bassano del Grappa | (VI) | Italy |
| P.O. "SS. Filippo e Nicola" | Avezzano | AQ | Italy |
| Ospedale Civ. "S. Maria Incoronata dell'Olmo" | Cava de' Tirreni | SA | Italy |
| Ospedale Maggiore | Chieri | TO | Italy |
| Ospedale di Sant'Agata dei Goti | Benevento | Italy |
| Ospedali Civili di Brescia | Brescia | Italy |
| AO Sant'Anna e San Sebastiano | Caserta | Italy |
| Ospedale ARNAS Garibaldi | Catania | Italy |
| Ospedale Sant'Anna | Como | Italy |
| Ospedale di Ceva | Cuneo | Italy |
| AOU Careggi | Florence | Italy |
| Ospedale di Galliera | Genova | Italy |
| Ospedale San Salvatore | L’Aquila | Italy |
| Ospedale Niguarda | Milan | Italy |
| Ospedale San Luca | Milan | Italy |
| Ospedale Buon Consiglio Fatebenefratelli | Naples | Italy |
| Ospedale Cardarelli | Naples | Italy |
| Ospedale di Piove di Sacco | Padova | Italy |
| Ospedale San Jacopo | Pistoia | Italy |
| P.O. "S. Maria delle Grazie" | Pozzuoli | Italy |
| Ospedale Fatebenefratelli | Roma | Italy |
| Ospedale Santa Maria della Misericordia | Rovigo | Italy |
| AOU San Giovanni di Dio e Ruggi d'Aragona | Salerno | Italy |
| Ospedale Abbadia San Salvatore | Siena | Italy |
| PO "Umberto I" | Syracuse | Italy |
| Ospedale "Città della Salute" | Torino | Italy |
| Ospedale Cà Foncello | Treviso | Italy |
| Ospedale di Circolo | Varese | Italy |
| AOUI - Borgo Trento | Verona | Italy |
| Ospedale Versilia | Viareggio | Italy |
| ID | Term |
|---|---|
| D007024 | Hypotension, Orthostatic |
| ID | Term |
|---|---|
| D054971 | Orthostatic Intolerance |
| D054969 | Primary Dysautonomias |
| D001342 | Autonomic Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D007022 | Hypotension |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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