Document Detail


Hypertensive emergency: case criteria, sociodemographic profile, and previous care of 100 cases.
MedLine Citation:
PMID:  3369591     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To study the frequency, cost, sociodemographic profile, and previous care correlates of hospital admissions for hypertensive emergency, we used specific case criteria to identify a series of 100 cases at Presbyterian Hospital in New York City. Approximately 58 cases were admitted per year. Mean length of hospital stay was 11.8 days, 75 per cent of patients received intensive care, and estimated annual hospital charges were $438,828 (1986 dollars). Cases had severe hypertension on admission (mean systolic blood pressure, 229.8 mmHg; mean diastolic blood pressure, 143 mmHg). Two-thirds had clinical evidence of acute arteriolitis. Cases were predominantly young, male, Black or Hispanic, and of lower socioeconomic status. At least 93 per cent of cases were previously diagnosed, and at least 83 per cent were aware of their diagnosis of hypertension. Improved management of chronic hypertension rather than more intensive screening may be a useful strategy to reduce the incidence of hypertensive emergency.
Authors:
N M Bennett; S Shea
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of public health     Volume:  78     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-06-13     Completed Date:  1988-06-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  636-40     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, College of Physicians & Surgeons, Columbia University, New York, NY 10032.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Blood Pressure
Critical Care / economics
Demography
Emergencies
Female
Hospitalization / economics
Humans
Hypertension / classification*,  diagnosis,  physiopathology,  therapy
Hypertension, Malignant / classification
Male
Middle Aged
New York City
Socioeconomic Factors
Comments/Corrections

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