Clinical characteristics and prognosis of patients with very severe acute hypertension visiting the emergency department
DC Field | Value | Language |
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dc.contributor.author | Kim, Hyun-Jin | - |
dc.contributor.author | Kim, Byung Sik | - |
dc.contributor.author | Shin, Jeong-Hun | - |
dc.date.accessioned | 2022-09-19T12:17:09Z | - |
dc.date.available | 2022-09-19T12:17:09Z | - |
dc.date.created | 2022-09-08 | - |
dc.date.issued | 2022-08 | - |
dc.identifier.issn | 2635-6325 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/171548 | - |
dc.description.abstract | Background Data regarding very severe acute hypertension, a serious problem in emergency departments (EDs), are scarce. We investigated the clinical characteristics, practice patterns, and long-term prognoses of patients presenting to the ED with very severe acute hypertension. Methods Cross-sectional study data were obtained from a single regional emergency medical center, including patients aged ≥ 18 years who were admitted to the ED between January 2016 and December 2019 for very severe acute hypertension, which was defined as systolic blood pressure of > 220 mmHg and/or diastolic blood pressure of > 120 mmHg. The patients were classified into two groups based on the presence or absence of hypertension-mediated organ damage (HMOD). Results Among 1,391 patients with very severe acute hypertension in the ED, half of the them (50.2%) had a previous medical history of hypertension, and 547 (39.3%) had acute HMOD. The overall 3-month, 1-year, and 3-year mortality rates were 5.2%, 11.9%, and 17.3%, respectively. In particular, patients with HMOD had a significantly higher mortality rate at each time point than those without HMOD. Among patients with HMOD, acute ischemic stroke was the most common (28.7%). Moreover, intravenous antihypertensive drugs were significantly more prescribed in patients with HMOD than in those without HMOD (79.0% vs. 22.2%, P < 0.001), but there were no differences in oral antihypertensive drugs between the two groups. Conclusions Patients with very severe acute hypertension had poor long-term clinical prognoses. Clinicians should be continuously monitoring and providing appropriate treatment and close follow-up for patients with very severe acute hypertension. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SPRINGERNATURE | - |
dc.title | Clinical characteristics and prognosis of patients with very severe acute hypertension visiting the emergency department | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Hyun-Jin | - |
dc.contributor.affiliatedAuthor | Shin, Jeong-Hun | - |
dc.identifier.doi | 10.1186/s40885-022-00208-3 | - |
dc.identifier.scopusid | 2-s2.0-85135808118 | - |
dc.identifier.wosid | 000840379600002 | - |
dc.identifier.bibliographicCitation | CLINICAL HYPERTENSION, v.28, no.1, pp.1 - 9 | - |
dc.relation.isPartOf | CLINICAL HYPERTENSION | - |
dc.citation.title | CLINICAL HYPERTENSION | - |
dc.citation.volume | 28 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 1 | - |
dc.citation.endPage | 9 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002866044 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.subject.keywordPlus | HIGH BLOOD-PRESSURE | - |
dc.subject.keywordPlus | PREVENTION | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordAuthor | Very severe acute hypertension | - |
dc.subject.keywordAuthor | Emergency department | - |
dc.subject.keywordAuthor | Hypertension-mediated organ damage | - |
dc.subject.keywordAuthor | Mortality | - |
dc.identifier.url | https://clinicalhypertension.biomedcentral.com/articles/10.1186/s40885-022-00208-3 | - |
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