Self-Report Orthostatic Grading Scale of Schrezenmaier et al

Algorithm
Documentation: 

Schrezenmaier et al reported a patient questionnaire for reporting orthostatic hypotension. The authors are from the Mayo Clinic in Rochester,

Parameters:

(1) frequency of orthostatic symptoms

(2) severity of orthostatic symptoms

(3) conditions under which orthostatic symptoms occur

(4) activities of daily living

(5) standing time

Parameter

Finding

Points

frequency of orthostatic hypotension when standing up

never or rarely

0

sometimes

1

often

2

usually

3

always

4

severity of orthostatic hypotension when standing up

none

0

mild

1

moderate, sometimes have to sit back down for relief

2

severe, frequently sit back down for relief

3

severe, regularly faint if do not sit back down

4

conditions when orthostatic symptoms occur when standing up

never or rarely

0

sometimes, under certain circumstances

1

often, under certain circumstances

2

usually, under certain circumstances

3

always, regardless of circumstances

4

activities of daily living

none

0

mild

1

moderate

2

severe

3

severe and bedridden or wheelchair bound

4

standing time

as long as necessary

0

more than 15 minutes

1

5 to 14 minutes

2

1 to 4 minutes

3

less than a minute

4

where:

• Circumstances that may precipitate orthostatic hypotension are prolonged standing, after eating a meal, after exertion, after exposure to heat.

total score =

= SUM(points for all 5 statements)

Interpretation:

• minimum score: 0

• maximum score: 20

• The higher the score the more severe the orthostatic hypotension.

References: 

Schresenmaier C, Gehrking JA, et al. Evaluation of orthostatic hypotension: Relationship of a new self-report instrument to laboratory-based measures. Mayo Clin Proc. 2005; 80: 330-334 (Table 1, page 331).

Lisence