Hypertensive emergencies were associated with significantly higher 12-month mortality compared to hypertensive urgencies (38.9% vs 8.9%, P=0.001).
Cohort (n=670)
Does the presentation of acute severe hypertension as an emergency versus urgency affect short-term and long-term mortality in adults?
Patients with hypertensive emergencies have a significantly worse short-term and long-term prognosis compared to those with hypertensive urgencies, highlighting the need for better follow-up and treatment.
Tasa de eventos absoluta: 38.9% vs 8.9%
valor p: p=.001
Long-term mortality in patients with acute severe hypertension is unclear. The authors aimed to compare short-term (hospital) and long-term (12 months) mortality in these patients. A total of 670 adults presenting for acute severe hypertension between January 1, 2015, and December 31, 2015, were included. A total of 57.5% were hypertensive emergencies and 66.1% were hospitalized: 98% and 23.2% of those with hypertensive emergencies and urgencies, respectively (P = .001). Hospital mortality was 7.9% and was significantly higher for hypertensive emergencies (12.5% vs 1.8%, P = .001). At 12 months, 106 patients died (29.4%), mainly from hypertensive emergencies (38.9% vs 8.9%, P = .001). Median survival was 14 days for neurovascular emergencies and 50 days for cardiovascular emergencies. Patients with hypertensive emergencies or urgencies had bad long-term prognosis. Short-term mortality is mainly caused by neurovascular emergencies, but cardiovascular emergencies are severe, with high mortality at 12 months. These results justify better follow-up and treatment for these patients.
Guiga et al. (Sun,) conducted a cohort in Acute severe hypertension (n=670). Hypertensive emergencies vs. Hypertensive urgencies was evaluated on 12-month mortality (p=.001). Hypertensive emergencies were associated with significantly higher 12-month mortality compared to hypertensive urgencies (38.9% vs 8.9%, P=0.001).