ORTHOSTATIC VITAL SIGNS IN EMERGENCY DEPARTMENT PATIENTS

被引：26

作者：

KOZIOLMCLAIN, J

LOWENSTEIN, SR

FULLER, B

机构：

[1] Emergency Medicine Research Center, University of Colorado Health Sciences Center, Denver

[2] School of Medicine, University of Colorado Health Sciences Center, Denver

[3] School of Nursing, University of Colorado Health Sciences Center, Denver

来源：

ANNALS OF EMERGENCY MEDICINE | 1991年 / 20卷 / 06期

关键词：

orthostatic vital signs;

D O I：

10.1016/S0196-0644(05)82376-5

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To examine the variability and define the normal ranges of orthostatic vital signs in an emergency department population. Design: Descriptive. Setting: The ED of an urban teaching hospital in Denver, Colorado. Type of participants: Adult ED patients with no history of recent blood or fluid losses. Measurements: Lying and standing heart rate and blood pressure measured by an automated instrument. Results: In 132 presumed euvolemic patients, the statistical normal ranges (mean +/- 2 SD) of orthostatic vital signs were wide: on standing, the heart rate range was from down 5.0 to up 39.4 beats per minute; for systolic blood pressure, the range was down 20 to up 25.7 mm Hg; and for diastolic blood pressure, the range was down 6.4 to up 24.9 mm Hg. In this sample, 43% had "positive" orthostatic vital signs according to currently accepted values. Conclusion: The data from this study indicate that there is a wider than expected variation in orthostatic vital signs among presumed euvolemic ED patients.

引用

页码：606 / 610

页数：5

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