Key result
Non-chest, non-headache pain linked to ~56-fold higher odds of hypertensive pseudocrisis versus emergency.
Why the study?
Patients with hypertensive crisis can present as urgency, emergency, or pseudocrisis, but clinical characteristics and associated variables are not well defined.
What clinical characteristics are associated with hypertensive urgency, emergency, and pseudocrisis in patients presenting to the emergency department?
Population
508 patients with hypertensive crisis aged 18 years or over at a public emergency department
Comparison
Hypertensive urgency vs hypertensive emergency vs hypertensive pseudocrisis
Design
Cross-sectional study
Authors
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Pain may aid ED differentiation of pseudocrisis from emergency; leaves open need for prospective validation.
Cross-Sectional (n=508)
No
What clinical characteristics are associated with hypertensive urgency, emergency, and pseudocrisis in patients presenting to the emergency department?
Odds Ratio: 55.58 (95% CI 10.55–292.74)
p-value: p=<0.001
Advanced age and neurological problems are associated with hypertensive emergency, headache with urgency, and pain or emotional problems with pseudocrisis.
Pierin et al. (2019) conducted a cross-sectional in Hypertensive crisis (n=508). Presence of pain (excluding chest pain and headache) vs. Hypertensive emergency was evaluated on Likelihood of hypertensive pseudocrisis compared to hypertensive emergency (OR 55.58, 95% CI 10.55-292.74, p=<0.001). The presence of pain (excluding chest pain and headache) strongly increased the likelihood of hypertensive pseudocrisis compared to hypertensive emergency (OR 55.58).
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