Evidence map›Paper›PMID 30571563›Full record

ArticleHypertension (Dallas, Tex. : 1979)2019

Thirty-Day Readmissions After Hospitalization for Hypertensive Emergency.

Nilay Kumar, Shawn Simek, Neetika Garg, Muthiah Vaduganathan, Farah Kaiksow, James H Stein, Gregg C Fonarow, Ambarish Pandey, Deepak L Bhatt

Open access · bronzeAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Modern Management of Hypertensive Emergencies.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022
    Pooled it
  2. Beyond the acute phase: the evidence gap in hypertensive emergency in Japan.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
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  15. Rehospitalization Rates in Hypertensive Emergency.Hypertension (Dallas, Tex. : 1979) · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Nilay KumarFrom the Division of Hospital Medicine (N.K., F.K.), University of Wisconsin School of Medicine and Public Health, Madison.
Shawn SimekDepartment of Internal Medicine (S.S.), University of Texas Southwestern Medical Center, Dallas.
Neetika GargDivision of Nephrology (N.G.), University of Wisconsin School of Medicine and Public Health, Madison.
Muthiah VaduganathanBrigham and Women's Hospital Heart and Vascular Center, Boston, MA (M.V., D.L.B.).
Farah KaiksowFrom the Division of Hospital Medicine (N.K., F.K.), University of Wisconsin School of Medicine and Public Health, Madison.
James H SteinDivision of Cardiovascular Medicine (J.H.S.), University of Wisconsin School of Medicine and Public Health, Madison.
Gregg C FonarowDivision of Cardiology, University of California Los Angeles (G.C.F.).
Ambarish PandeyDivision of Cardiology (A.P.), University of Texas Southwestern Medical Center, Dallas.
Deepak L BhattBrigham and Women's Hospital Heart and Vascular Center, Boston, MA (M.V., D.L.B.).
Wisconsin Division of Public Health · USThe University of Texas Southwestern Medical Center · USUniversity of California, Los Angeles · USBrigham and Women's Hospital · US

Funding

TRAINING PROGRAM IN CARDIOVASCULAR RESEARCHT32HL007604 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MARK W FEINBERG · 1985 to 2026
$19.0M
NHLBI NIH HHS T32 HL007604
6 · The paper itself

Abstract

Hypertensive emergency is a clinical entity with potentially serious health implications and high healthcare utilization. There is a lack of nationally representative data on incidence, causes, and predictors of 30-day readmission after hospitalization for hypertensive emergency. We used the 2013 to 2014 Nationwide Readmissions Database to identify index hospitalizations for hypertensive emergency. Primary outcome was all-cause unplanned 30-day readmission. Multivariable hierarchical logistic regression was used to identify independent predictors of readmission. There were 166 531 index hospitalizations for hypertensive emergency representative of 355 627 (SE, 9401) hospitalizations nationwide in 2013 to 2014. Mean age was 66.0 (SE, 0.14) years, and 53.7% were women. The overall incidence of unplanned 30-day readmissions was 17.8%. The most common causes of readmission were heart failure (14.2%), hypertension with complications (10.2%), sepsis (5.9%), acute kidney injury (5.1%), and cerebrovascular accident (5.1%). Noncardiovascular causes accounted for 57.9% of readmissions. We found age <65 years (odds ratio, 1.21; 95% CI, 1.17-1.25; P<0.001), female sex (odds ratio, 1.09; 95% CI, 1.07-1.12; P<0.001), comorbid disease burden, substance use disorders, and socioeconomic risk factors to be significant predictors of readmission. One out of 6 patients hospitalized for hypertensive emergency had an unplanned 30-day readmission. Heart failure, uncontrolled hypertension, and stroke were among the most frequent causes of readmission; however, over half of all readmissions were because of noncardiovascular causes.

Indexed as

HypertensionAgedDatabases, FactualEmergenciesEmergency TreatmentFemaleHospitalizationHumansIncidenceMaleMiddle AgedPatient ReadmissionPrognosisRisk FactorsUnited Statesblood pressureemergencyheart failurehypertensionstroke

Identifiers

PMID30571563
PMCPMC6310036
OpenAlexW2900808553

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.