Clinical Characteristics, Office Blood Pressure, and Home Blood Pressure of Patients Diagnosed With Hypertension in the Emergency Department

Q: What are the key findings of this study?

Blood pressure measured in the emergency department was significantly higher than office measurements (mean difference 14.76 mmHg for systolic), though 56.9% of patients were ultimately diagnosed with hypertension.

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Hypertension (n=109). Intervention: Emergency department blood pressure measurement vs. Office blood pressure measurement. Primary outcome: Mean systolic blood pressure (MD 14.76, 95% CI 9.77-19.74, p=<0.001).

Q: What does this research mean for the field?

Blood pressure measured in the emergency department is significantly higher than in office and home settings, and over half (56.9%) of patients presenting with elevated emergency department blood pressure are confirmed to have hypertension. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Fuat Polat; Zeynettin Kaya; M Ozbek; İsmail Ateş

doi:10.17343/sdutfd.1336150

September 15, 2023SDÜ Tıp Fakültesi DergisiOpen Access

Clinical Characteristics, Office Blood Pressure, and Home Blood Pressure of Patients Diagnosed With Hypertension in the Emergency Department

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Key result

ED blood pressure averages ~15 mmHg higher than office readings despite frequent hypertension diagnoses.

MD +14.76
95% CI 9.77-19.74
P<0.001
n=109

Why the study?

The diagnostic value and characteristics of blood pressure measurements in the emergency department compared to office and home settings for patients newly presenting with high blood pressure were unclear.

Study Design

Type

Observational (n=109)

Multicenter

No

PICO

P

Population

109 adult patients without a prior diagnosis of hypertension who presented to the emergency department with elevated blood pressure and underwent subsequent office and home blood pressure monitoring within 2 weeks.

E

Exposure / Comparator

Emergency department blood pressure measurement vs Office blood pressure measurement

O

Primary Outcome

Mean systolic blood pressure — MD 14.76 (9.77-19.74), p=<0.001

Main Result

Mean Difference: 14.76 (95% CI 9.77–19.74)

Absolute Event Rate: 166.87% vs 152.11%

p-value: p=<0.001

Limitations

Single-center design restricts generalizability
Relatively small sample size
Use of a single blood pressure measurement in the emergency department
Absence of baseline blood pressure data before the ED visit
Potential bias from patients attempting to reduce their blood pressure after the ED visit

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Cite This Study

Polat et al. (2023) conducted an observational in Hypertension (n=109). Emergency department blood pressure measurement vs. Office blood pressure measurement was evaluated on Mean systolic blood pressure (MD 14.76, 95% CI 9.77-19.74, p=<0.001). Blood pressure measured in the emergency department was significantly higher than office measurements (mean difference 14.76 mmHg for systolic), though 56.9% of patients were ultimately diagnosed with hypertension.

synapsesocial.com/papers/6ac4668aa583528cbf38ee41 https://doi.org/10.17343/sdutfd.1336150

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Clinical Characteristics, Office Blood Pressure, and Home Blood Pressure of Patients Diagnosed With Hypertension in the Emergency Department

Study Design

PICO

Main Result

Limitations

Ask about this paper

Abstract

Discussion

Cite This Study

Clinical Characteristics, Office Blood Pressure, and Home Blood Pressure of Patients Diagnosed With Hypertension in the Emergency Department

Study Design

PICO

Main Result

Limitations

Ask about this paper

Abstract

Discussion

Cite This Study

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