ArticleJournal of clinical hypertension (Greenwich, Conn.)2010
Attitudes and practices of resident physicians regarding hypertension in the inpatient setting.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 37 citations in OpenAlex.
- Effect of Antihypertensive Treatment on Hypotension, Mortality and Length of Stay in Orthopedic Trauma and First Detected High Blood Pressure Adults in a Large Urban Hospital: A Retrospective Cohort Study.Journal of clinical hypertension (Greenwich, Conn.) · 2026Article
- Intensified blood pressure control during hospital admission and on discharge: a systematic review and meta-analysis of retrospective cohort studies.Frontiers in cardiovascular medicine · 2026Review
- Article
- Blood pressure elevations in hospital.Australian prescriber · 2022Review
- Severe inpatient hypertension prevalence and blood pressure response to antihypertensive treatment.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Identification of hypertension in hospitalized children prescribed as-needed antihypertensive medication.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Institutional Pathways to Improve Care of Patients with Elevated Blood Pressure in the Emergency Department.Current hypertension reports · 2018Review
- Retrospective review of the use of as-needed hydralazine and labetalol for the treatment of acute hypertension in hospitalized medicine patients.Therapeutic advances in cardiovascular disease · 2018Article
- Services aimed at achieving desirable clinical outcomes in patients with chronic kidney disease and diabetes mellitus: A narrative review.SAGE open medicine · 2017Review
- An Update on Inpatient Hypertension Management.Current cardiology reports · 2015Review
- Acute hypertension: a systematic review and appraisal of guidelines.Ochsner journal · 2014Review
- How well do we care for patients with hypertension?Journal of clinical hypertension (Greenwich, Conn.) · 2012Review
- Intravenous hydralazine for blood pressure management in the hospitalized patient: its use is often unjustified.Journal of the American Society of Hypertension : JASHArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hypertension is prevalent in the population at large and among hospitalized patients. Little has been reported regarding the attitudes and patterns of care of physicians managing nonemergent elevated blood pressure (BP) among inpatients. Resident physicians in internal medicine (IM), family medicine (FM), and surgery were surveyed regarding inpatient BP management. One hundred eighty-one questionnaires were completed across 3 sites. Respondents generally considered inpatient BP control a high priority. A majority of IM and FM residents indicated following the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) consensus guidelines for inpatients compared to 20% of surgery residents (P<.001). While trainees did not appear to strictly follow JNC 7 guidelines for goal BP of 140/90 mm Hg, they did report making frequent BP medication changes (∼51% reported changing regimens for >50% of hypertensive patients). Overall ∼90% indicated that discharging a hypertensive patient on a drug regimen established during hospitalization is preferable to reverting to the regimen in place at the time of admission. Resident physicians regard elevated BP inpatient management as important, but attitudes and practice vary between specialties. JNC 7 guidelines may not be appropriate for inpatient use. Future research should focus on developing functional diagnostic criteria for hypertension in the inpatient setting and determining best practices inpatient BP management.
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