Evidence map›Paper›PMID 30659517›Full record

Observational studyHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2019

Emergency Department-Provided Home Blood Pressure Devices Can Help Detect Undiagnosed Hypertension.

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

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Intergenerational Hypertension Prevention Education for Children and Family Members: A Longitudinal Assessment.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023
    Article
  4. Hypertension Management in Emergency Departments.American journal of hypertension · 2020
    Review
  5. Article
  6. 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 at 3 institutions in 1 country.

Elizabeth M GoldbergDepartment of Emergency Medicine, Brown University, 55 Claverick Street, Providence, RI, 02903, USA. Elizabeth_goldberg@brown.edu.ORCID http://orcid.org/0000-0003-1817-0705
Taneisha WilsonDepartment of Emergency Medicine, Brown University, 55 Claverick Street, Providence, RI, 02903, USA.
Bianca JambhekarNew York Medical College, Valhalla, NY, USA.
Sarah J MarksDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Michael BoyajianAlpert Medical School of Brown University, Providence, RI, USA.
Roland C MerchantDepartment of Emergency Medicine, Brown University, 55 Claverick Street, Providence, RI, 02903, USA.
Brown University · USBrigham and Women's Hospital · USNew York Medical College · US

Funding

National Research Service AwardT32HS000011 · AHRQ · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 1986 to 2024
$6.1M
Agency for Healthcare Research and Quality T32 HS000011AHRQ HHS T32 HS000011
6 · The paper itself

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.

Indexed as

Blood PressureEmergency Service, HospitalAdultBlood Pressure Monitoring, AmbulatoryFemaleHumansHypertensionMaleMiddle AgedPatient DischargePilot ProjectsPredictive Value of TestsProspective StudiesReproducibility of ResultsBlood pressureCardiovascular diseaseGuidelinesHypertensionQuality measurement

Identifiers

PMID30659517
PMCPMC6407636
OpenAlexW2910409641

What OpenQuestion holds

Textmetadata
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.