ArticlePregnancy hypertension2020
Identifying hypertension in pregnancy using electronic medical records: The importance of blood pressure values.
Article in Pregnancy hypertension, 2020. 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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Systematic review of validated case definitions to identify hypertensive disorders of pregnancy in administrative healthcare databases.Open heart · 2023Pooled it
- Influence of Enhanced Administrative Case-Finding Strategies on Prevalence of Hypertensive Disorders of Pregnancy in Ontario: A Population-Based Descriptive Study.Journal of the American Heart Association · 2026Article
- Development and validation of case-ascertainment algorithms for hypertensive disorders of pregnancy using longitudinal electronic health records data.Journal of clinical epidemiology · 2025Article
- Association of oil spill cleanup-related hydrocarbon exposure with hypertension and blood pressure in the Gulf Long-term Follow-up Study.The Science of the total environment · 2025Article
- Effects of magnesium sulfate combined with labetalol on inflammatory stress and pregnancy outcome of patients with gestational hypertension.Experimental and therapeutic medicine · 2024Article
- Hypertension in Pregnancy: Current Challenges and Future Opportunities for Surveillance and Research.Journal of women's health (2002) · 2024Article
- Health-Related Quality of Life in Pregnant Women With Gestational Hypertension: A Systematic Review.Cureus · 2024Review
- Treatment of hypertension during pregnancy: a cohort of pregnancy episodes from the SIDIAP database, Catalonia, Spain.Frontiers in pharmacology · 2024Article
- Improving Blood Pressure Control in the United States: At the Heart of Million Hearts 2027.American journal of hypertension · 2023Article
- An Opportunity to Better Address Hypertension in Women: Self-Measured Blood Pressure Monitoring.Journal of women's health (2002) · 2022Article
- The Impact of Different Degrees of Intraventricular Hemorrhage on Mortality and Neurological Outcomes in Very Preterm Infants: A Prospective Cohort Study.Frontiers in neurology · 2022Article
- Maternal and neonatal outcomes of antihypertensive treatment in pregnancy: A retrospective cohort study.PloS one · 2022Article
- Identifying hypertensive disorders of pregnancy, a comparison of two epidemiologic definitions.Frontiers in cardiovascular medicine · 2022Article
- Prevalence of Hypertension Among Pregnant Women When Using the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines and Association With Maternal and Fetal Outcomes.JAMA network open · 2021Article
- Gestational weight gain and adverse pregnancy outcomes by pre-pregnancy BMI category in women with chronic hypertension: A cohort study.Pregnancy hypertension · 2021Article
Corrections and comments
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Authors and funding
15 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo incorporate blood pressure (BP), diagnoses codes, and medication fills from electronic medical records (EMR) to identify pregnant women with hypertension. STUDY
designA retrospective cohort study of singleton pregnancies at three US integrated health delivery systems during 2005-2014.
main outcome measuresWomen were considered hypertensive if they had any of the following: (1) ≥2 high BPs (≥140/90 mmHg) within 30 days during pregnancy (High BP); (2) an antihypertensive medication fill in the 120 days before pregnancy and a hypertension diagnosis from 1 year prior to pregnancy through 20 weeks gestation (Treated Chronic Hypertension); or (3) a high BP, a hypertension diagnosis, and a prescription fill within 7 days during pregnancy (Rapid Treatment). We described characteristics of these pregnancies and conducted medical record review to understand hypertension presence and severity.
resultsOf 566,624 pregnancies, 27,049 (4.8%) met our hypertension case definition: 24,140 (89.2%) with High BP, 5,409 (20.0%) with Treated Chronic Hypertension, and 5,363 (19.8%) with Rapid Treatment (not mutually exclusive). Of hypertensive pregnancies, 19,298 (71.3%) received a diagnosis, 9,762 (36.1%) received treatment and 11,226 (41.5%) had a BP ≥ 160/110. In a random sample (n = 55) of the 7,559 pregnancies meeting the High BP criterion with no hypertension diagnosis, clinical statements about hypertension were found in medical records for 58% of them.
conclusionIncorporating EMR BP identified many pregnant women with hypertension who would have been missed by using diagnosis codes alone. Future studies should seek to incorporate BP to study treatment and outcomes of hypertension in pregnancy.
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