• Chris Clark, Sinéad McDonagh, Rosina Cross, Jane Masoli, Judit Konya, Gary Abel, James Sheppard, Beth Jakubowski, Cini Bhanu, Jayne Fordham, Katrina Turner, Sallie Lamb, Rupert Payne, Richard McManus, and John Campbell.
• Primary Care Research Group, University of Exeter Medical School.
• Br J Gen Pract. 2023 Jul 1; 73 (suppl 1).

BackgroundPostural hypotension (PH), the drop in blood pressure (BP) on standing, is associated with falls, all-cause mortality and cognitive decline. PH diagnostic criteria require lying-to-standing BP measurements. PH Prevalence in older adults is 20%, however, it is infrequently recorded in primary care records, suggesting PH testing and/or recording is under-utilised in this setting.AimTo understand current PH measurement and management by primary care practitioners in England.MethodClinical Research Networks circulated an online survey to primary care clinicians involved in measurement of BP. Demographics and responses were summarised as percentages, or median and inter-quartile ranges (IQR), as appropriate. The survey remains open until 30 November 2022; full results will be presented at the conference.ResultsTo date, there are 669 replies (341 doctors, 179 nurses, 70 healthcare assistants, 23 pharmacists, 56 other roles); median age 45 (IQR 38 to 53), 72% female. Overall, 597 (89%) responders check for PH, predominantly when symptoms are present (98%). Less common reasons to check include patients being over 80 (24%), Parkinson's disease (21%), hypertension reviews (18%), medication reviews (12%) or diabetes reviews (11%). Sitting-to-standing BP measurements are common (77%); only 22% use lying-to-standing. Only 64% ensure a rest period before sitting or lying BP measurement and only 1 (IQR 1 to 2) standing BP measurement is made, usually (66%) within the first minute of standing.ConclusionInterim findings suggest that most PH assessments in primary care do not meet current guideline criteria. Full findings from this survey are expected to inform and influence future national guidelines.© British Journal of General Practice 2023.

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