Key result
Hypertensive emergency linked to ~7-fold greater inhospital mortality than hypertensive urgency.
Why the study?
The incidence, clinical presentations, disposition, and inhospital mortality of hypertensive urgency and emergency in adult patients presenting to emergency departments were not well documented in this setting.
Comparison
Hypertensive emergency (n=104) vs hypertensive urgency (n=52)
Design
Hospital-based retrospective observational study
Follow-up
Inhospital
Authors
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High mortality risk in hypertensive emergency warrants ED vigilance; cohort data extends stratification but leaves optimal interventions for prospective trials.
Observational (n=156)
No
Absolute Event Rate: 15.4% vs 2.1%
Hypertensive emergencies are more common than urgencies in this ED setting and are associated with significantly higher inhospital mortality and rates of acute heart failure and pulmonary edema.
Goswami et al. (2023) conducted an observational in Hypertensive crisis (n=156). Hypertensive emergency vs. Hypertensive urgency was evaluated on Inhospital mortality. Among adult patients presenting to the emergency department with hypertensive crisis, inhospital mortality was 15.4% in those with hypertensive emergency compared to 2.1% in hypertensive urgency.
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