An observational study in Orthostatic Hypotension, sponsored by Hôpital NOVO. Not yet recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-31.
Sponsored by Hôpital NOVO · Observational
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.
Orthostatic hypotension (OH) is defined as a decrease in systolic blood pressure of at least 20 mmHg and/or a decrease in diastolic blood pressure of at least 10 mmHg occurring within three minutes of standing. It is highly prevalent among older adults and is associated with adverse outcomes including falls, syncope, hospitalization, loss of autonomy and increased mortality.
Recent recommendations from the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC) emphasize the importance of systematic screening for orthostatic hypotension in older adults and other at-risk populations. These recommendations also describe standardized measurement procedures, including blood pressure assessment after a period of rest in the supine position followed by measurements after standing at defined time points.
Although these recommendations are available, several studies suggest that orthostatic hypotension remains underdiagnosed in routine clinical practice. Inadequate knowledge of diagnostic criteria, inconsistent measurement techniques and variability in screening indications may contribute to this under-recognition.
The present study is a monocentric observational study conducted within the geriatric department of Hôpital NOVO. It aims to describe nurses' knowledge and self-reported practices regarding orthostatic hypotension screening.
Data will be collected through an anonymous self-administered questionnaire developed from current recommendations. The questionnaire explores three domains: theoretical knowledge of orthostatic hypotension, practical aspects of blood pressure measurement, and clinical situations prompting screening.
The results of this study will help identify potential knowledge gaps and areas for improvement in clinical practice. Findings may support the development of targeted educational interventions, standardized protocols and quality improvement initiatives to enhance the detection of orthostatic hypotension in older adults.
159 studies on the registry are indexed under Hypotension, Orthostatic; 35 are open to participants now.
This study's planned enrollment of 30 is below the median of 100 across 37 observational studies indexed under Hypotension, Orthostatic.
Browse Hypotension, Orthostatic studies →Hôpital NOVO is the lead sponsor of 70 studies on the registry; 19 are open to participants now.
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Aged patients with orthostatic hypotension.
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Exclusion Criteria:
Administration of questionnaires on nurses' knowledge of orthostatic hypotension, its measurement, diagnosis and management
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)
Time frame: Through study completion, an average of 1 year
Evaluate the influence of the nurse's experience on their knowledge regarding the screening for orthostatic hypotension in the elderly.
Nurses' knowledge will be assessed using the study-specific questionnaire developed from current European recommendations on orthostatic hypotension screening. Professional experience will be assessed by self-reported years of practice as a registered nurse. The association between questionnaire responses and years of professional experience will be analyzed.
Time frame: 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.
Nurses' knowledge will be assessed using the study-specific questionnaire. Experience in geriatric care will be assessed by self-reported years of practice in geriatric settings. The association between questionnaire responses and years of experience in geriatrics will be analyzed.
Time frame: 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)
Nurses' knowledge will be assessed using the study questionnaire. Questionnaire responses will be compared between nurses working in acute geriatric care and those working in geriatric rehabilitation (SMR).
Time frame: Through study completion, an average of 1 year
Plan to share: No
This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.
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Hôpital NOVO