ArticleHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2018
Hypertensive Urgency Treatment and Outcomes in a Northeast Thai Population: The Results from the Hypertension Registry Program.
Article in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07461415 (CONNECT-HTN Trial - Coaching and Navigation by CHWs Through Telehealth for High-risk Hypertension), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.
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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.
CONNECT-HTN Trial - Coaching and Navigation by CHWs Through Telehealth for High-risk Hypertension
Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Executive Summary of the 2024 Philippine Clinical Practice Guidelines on the Diagnosis and Management of Acute Severe Blood Pressure Elevation.Journal of clinical hypertension (Greenwich, Conn.) · 2026Guideline
- Clinical Outcomes in Hypertensive Emergency: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2023Pooled it
- Effectiveness of Short-Acting Oral Antihypertensives in Asymptomatic Markedly Elevated Blood Pressure: An Inverse Probability Treatment Weighted Study.Journal of clinical medicine research · 2025Article
- Assessing the impact of acute severe hypertension in the emergency department: A prospective cohort study in Karachi, Pakistan.PLOS global public health · 2024Article
- In-hospital mortality and length of stay of patients with hypertensive crisis treated at public hospitals in Harari Regional State, Eastern Ethiopia.Journal of clinical hypertension (Greenwich, Conn.) · 2023Article
- Hypertensive emergencies and urgencies: a preliminary report of the ongoing Italian multicentric study ERIDANO.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- In-hospital outcomes of patients with a hypertensive emergency at a medical center, Ethiopia: A prospective observational study.Health science reports · 2022Article
- The Management of Hypertensive Emergencies-Is There a "Magical" Prescription for All?Journal of clinical medicine · 2022Review
- Clinical treatment outcomes of hypertensive emergency patients: Results from the hypertension registry program in Northeastern Thailand.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Accuracy of a Symptom-Based Approach to Identify Hypertensive Emergencies in the Emergency Department.Journal of clinical medicine · 2020Article
- Immediate Prescription of Oral Antihypertensive Agents in Hypertensive Urgency Patients and the Risk of Revisits with Elevated Blood Pressure.Open access emergency medicine : OAEM · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHypertensive (HT) urgency is a common presentation in emergency room (ER). Although the practice guideline recommends against rapid blood pressure (BP) reduction, in medical practice, physicians usually attempt to timely reduce BP in order to avoid target organ damage. However, there is limited data in Asians. This study was designed to fill the gap of knowledge by using the dataset of the HT crises patients at a tertiary care center.
aimTo determine the characteristics, treatments, and outcomes of HT urgency patients during ER visit and at 2-week follow-up.
methodsA retrospective cohort study conducted at a university hospital in northeast Thailand from January 2012 to June 2017. Hypertensive crises patients were consecutively enrolled.
resultsOf the 221,287 patients who admitted to the ER, prevalence rates of HT urgency and HT emergency were 48.5 and 15.5 per 100,000 patients-year. In HT urgency cases, the average initial and discharge SBP/DBP were 200/110 and 163/92 mmHg, respectively. Oral anti-HT medications were most frequently prescribed (90.5%). At a 2-week follow-up, 24.6% of patients had BP < 140/90 mmHg. The SBP at ER discharge was significantly lower in the patients with follow-up BP < 140/90 compared to those with BP > 140/90 mmHg (158.8 ± 16.9 vs. 164.2 ± 16.6 mmHg, P < 0.01).
conclusionsHypertensive urgency was common among patients admitted to the ER. Oral anti-HT medication effectively reduced BP. One in five patients had BP < 140/90 mmHg at a 2-week follow-up and systolic BP at discharge might be an important factor in predicting better BP control.
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