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Hypertensive emergency

Case criteria, sociodemographic profile, and previous care of 100 cases

Bibliographic Data

ID11033189
AuthorsN M Bennett, Bennett Nr (Columbia University), Steven A Shea (0000-0003-1949-0954), S Shea
Year1988
Volume78
Issue6
Pages636-640
Publication date1988-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.78.6.636
PMID3369591
OpenAlexW2166724320
LanguageEN
Citations received4
References cited17

To study the frequency, cost, sociodemographic profile, and previous care correlates of hospital admissions for hypertensive emergency, we used specific case criteria to identify a series of 100 cases at Presbyterian Hospital in New York City. Approximately 58 cases were admitted per year. Mean length of hospital stay was 11.8 days, 75 per cent of patients received intensive care, and estimated annual hospital charges were $438,828 (1986 dollars). Cases had severe hypertension on admission (mean systolic blood pressure, 229.8 mmHg; mean diastolic blood pressure, 143 mmHg). Two-thirds had clinical evidence of acute arteriolitis. Cases were predominantly young, male, Black or Hispanic, and of lower socioeconomic status. At least 93 per cent of cases were previously diagnosed, and at least 83 per cent were aware of their diagnosis of hypertension. Improved management of chronic hypertension rather than more intensive screening may be a useful strategy to reduce the incidence of hypertensive emergency

Blood pressure · Chronic hypertension · Emergency department · Environmental health · Hypertensive emergency · Incidence (geometry) · Intensive care · Intensive care medicine · Population · Socioeconomic status · Cardiac, Anesthesia and Surgical Outcomes · Emergency Medicine · Hemodynamic Monitoring and Therapy · Internal Medicine · Medicine · Traumatic Brain Injury and Neurovascular Disturbances · Pediatrics

  • Hypertension control, 1994

    Sarah Shea•American Journal of Public Health•1994

  • Hypertensive emergency

    Roger B Hickler•American Journal of Public Health•1988

  • Correlates of nonadherence to hypertension treatment in an inner-city minority population

    Sarah Shea, Dawn P Misra et al.•American Journal of Public Health•1992

  • Blood pressure measurement and antihypertensive treatment in a low-income African-American population

    D J Hyman, V N Pavlik et al.•American Journal of Public Health•1998

  • Hypertension

    J E Keil, Julian Keil et al.•American Journal of Public Health•1977

Unique citing works4
Citations per year0,11
Citation span1988 - 1998 (11)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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