Emergency Department-Provided Home Blood Pressure Devices Can Help Detect Undiagnosed Hypertension View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-01-19

AUTHORS

Elizabeth M. Goldberg, Taneisha Wilson, Bianca Jambhekar, Sarah J. Marks, Michael Boyajian, Roland C. Merchant

ABSTRACT

IntroductionEmergency departments (EDs) are critical sites for hypertension (HTN) screening. Home blood pressure (BP) monitoring (HBPM) is used routinely in outpatient settings, yet its utility after the ED visit for those with elevated BP in the ED is unclear.AimIn this pilot study, we assessed if HBPM could detect HTN in patients with elevated in-ED BP.MethodsFrom September 2014 to July 2017, we recruited adult patients at an urban, academic ED with a triage BP ≥ 120/80 mmHg and no history of HTN into this prospective cohort observational study. After their ED visit, participants obtained BP measurements for two weeks using a validated HBPM. HTN was considered probable if the average HBPM BP was ≥ 135/85 mmHg. We calculated the proportion of participants whose ED BP measurement accurately predicted HTN using HBPM after discharge.ResultsOf 136 participants enrolled, 93 (68%) returned the HBPM with at least four home BP measurements [mean number of measurements obtained: 29 (SD: 17, range 4–59)]. Participants’ median age was 40 years-old (IQR 34–48); 55% were female, 19% were black, and 58% were white. Forty-six percent of participants with elevated in-ED BP had HTN in follow-up.ConclusionsFor patients with elevated BP in the ED, HBPM could be valuable for determining which patients have HTN and require expedient follow-up. More... »

PAGES

45-53

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s40292-019-00300-0

DOI

http://dx.doi.org/10.1007/s40292-019-00300-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111517042

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30659517


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