Document Detail

Using the emergency department as a screening site for high blood pressure. A method for improving hypertension detection and appropriate referral.
MedLine Citation:
PMID:  3695673     Owner:  NLM     Status:  MEDLINE    
This study describes the development and testing of a high blood pressure protocol for use in emergency departments (ED) to enhance detection of those patients appropriate for subsequent referral. The protocol involves two serial blood pressure measurements and a patient interview to determine: 1) previous history of high blood pressure (HBP), 2) treatment in past year for HBP, and 3) usual source of medical care. The accuracy of patient reporting was validated by comparison with the patients' hospital record (reflecting outpatient and inpatient visits). Results indicate that these self-reports have high levels of sensitivity (range 90-100%) and specificity (range 79-96%). Use of the additional patient information increased the sensitivity of the screening protocol in identifying when and where a patient should be referred. Use of this methodology indicates that the protocol is a simple and effective method for HBP screening. The findings also suggest that the ED is an ideal site for screening the "hard-to-reach" hypertensive population.
J Mamon; L Green; D M Levine; G Gibson; H T Gurley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Medical care     Volume:  25     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1988-02-03     Completed Date:  1988-02-03     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  770-80     Citation Subset:  IM    
Department of Behavioral Sciences and Health Education, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205.
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MeSH Terms
Clinical Protocols
Emergency Service, Hospital / utilization*
Hospital Bed Capacity, 500 and over
Hypertension / prevention & control*
Mass Screening*
Referral and Consultation*
Grant Support
Erratum In:
Med Care 1987 Oct;25(10):1018

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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