| The feasibility and effectiveness of emergency department based hypertension screening: A systematic review. | |
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MedLine Citation:
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PMID: 21899644 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Purpose: Hypertension is a highly prevalent risk factor for cardiovascular disease, and its early identification and management results in reductions in morbidity and mortality. Our objectives were to: (1) determine the extent to which the emergency department (ED) has been used to screen patients for undiagnosed hypertension; (2) estimate the incidence of undiagnosed hypertension in the ED population; (3) identify and describe the programs for ED hypertension screening; and (4) determine the feasibility of ED-based hypertension screening programs and the requirements for further study. Data sources: An online search of databases (i.e., OVID Search, CINAHL, Scopus, Web of Science), unpublished sources (i.e., ProQuest Dissertation & Theses and Papers First), and grey literature (i.e., OpenSIGLE and the New York Academy of Grey Literature) was conducted. A manual search of the reference lists of relevant studies was also completed. Conclusion: Hypertension screening in the ED is feasible. Individuals with elevated blood pressure (BP) in the ED should be referred for follow-up. Further study is needed to develop an ED screening tool that is predictive of persistently elevated BP in undiagnosed individuals. Implications for practice: Nurse practitioners in the ED should identify patients with elevated BP, provide hypertension education, and ensure appropriate intervention and referral. |
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Authors:
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Roger L Scott; Garnet E Cummings; Christine Newburn-Cook |
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Publication Detail:
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Type: Journal Article Date: 2011-06-13 |
Journal Detail:
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Title: Journal of the American Academy of Nurse Practitioners Volume: 23 ISSN: 1745-7599 ISO Abbreviation: J Am Acad Nurse Pract Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-09-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8916634 Medline TA: J Am Acad Nurse Pract Country: United States |
Other Details:
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Languages: eng Pagination: 493-500 Citation Subset: N |
Copyright Information:
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©2011 The Author(s) Journal compilation ©2011 American Academy of Nurse Practitioners. |
Affiliation:
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Health First Strathcona Primary Care Centre, Sherwood Park, Alberta, Canada Department of Emergency Medicine, Faculty of Medicine & Dentistry, University of Alberta, Alberta, Canada Faculty of Nursing, University of Alberta, Alberta, Canada. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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