Evidence map›Paper›PMID 26454813›Full record

Observational studyThe American journal of cardiology2015

Incidence of Hypertension-Related Emergency Department Visits in the United States, 2006 to 2012.

Candace D McNaughton, Wesley H Self, Yuwei Zhu, Alexander T Janke, Alan B Storrow, Phillip Levy

Abstract readObservational Study
In one paragraph

Observational study in The American journal of cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed.

  1. Trial
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  9. Review
  10. Observational
  11. Article
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  15. Article
  16. Article
  17. Article
  18. Hypertension Management in Emergency Departments.American journal of hypertension · 2020
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Candace D McNaughtonDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: candace.mcnaughton@vanderbilt.edu.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Alexander T JankeWayne State University School of Medicine, Detroit, Michigan.
Alan B StorrowDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Phillip LevyWayne State University School of Medicine, Detroit, Michigan; Department of Emergency Medicine, Cardiovascular Research Institute, Wayne State University, Detroit, Michigan.

Funding

The Vanderbilt Emergency Medicine Research Training Program (VEMRT)K12HL109019 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COLLINS, SEAN PATRICK, STORROW, ALAN B · 2011 to 2015
$3.7M
Adjunct vitamin D therapy as a means to reduce the disparity in subclinical targeR01MD005849 · NIMHD · WAYNE STATE UNIVERSITY · PI LEVY, PHILLIP DAVID · 2011 to 2015
$1.9M
Salivary Cortisol as a Marker of Community-Acquired Pneumonia Severity in AdultsK23GM110469 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SELF, WESLEY H · 2015 to 2018
$683k
A Randomized, ED-based Intervention to Improve Antihypertensive AdherenceK23HL125670 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MCNAUGHTON, CANDACE · 2015 to 2017
$488k
NHLBI NIH HHS K12 HL109019NHLBI NIH HHS K23 HL 125670NHLBI NIH HHS K23 HL125670NIGMS NIH HHS K23 GM110469NIMHD NIH HHS R01 MD 005849NIMHD NIH HHS R01 MD005849
6 · The paper itself

Abstract

Hypertension is a common chronic condition, but the burden of emergency department (ED) visits due to hypertension and associated patient and hospital characteristics are not well described. The goals of this study were to (1) establish the burden of hypertension-related ED visits, estimated by the total number, proportion of adult visits, and population-based rate, (2) evaluate for change over time, and (3) identify associated patient and hospital characteristics. The Nationwide Emergency Department Sample from 2006 to 2012 was used to identify hypertension-related ED visits (International Classification of Diseases, Ninth Revision, Clinical Modification codes 401 to 405, inclusive, and 437.2), and this was linked to US Census Bureau July population estimates to determine population-based rates for each study year. Negative binomial regression was performed to determine whether rates of hypertension-related ED visits changed over time. A total of 165,946,807 hypertension-related ED visits occurred during the 7-year study period (23.6% of all adult ED visits), and hypertension was the primary diagnosis for 6,399,088 (0.9% of all adult ED visits). The estimated yearly incidence rate increased 5.2% per year (incident rate ratio, 1.052; 95% confidence interval, 1.044 to 1.061; p <0.001) for hypertension-related visits and 4.4% per year (incidence rate ratio, 1.044; 95% confidence interval, 1.038 to 1.051; p <0.001) for ED visits with a primary diagnosis of hypertension. Over the same time, the proportion hospitalized decreased and the proportion of visits increased at safety net hospitals and among uninsured patients. In conclusion, these data indicate that hypertension-related ED visits are common and increasing.

Indexed as

AgedComorbidityEmergency Service, HospitalFemaleHumansHypertensionIncidenceMaleMedically UninsuredMiddle AgedUnited States

Identifiers

PMID26454813
PMCPMC4648677

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.