Self-Report Orthostatic Grading Scale

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.

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Purpose: To evaluate a patient for orthostatic hypotension using the self-report questionnaire of Schrezenmaier et al.