Observational studyAmerican journal of hypertension2021
Estimated Prevalence of Hypertension and Undiagnosed Hypertension in a Large Inpatient Population: A Cross-sectional Observational Study.
Observational study in American journal of hypertension, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Undiagnosed hypertension and associated factors among adults in ethiopia: a systematic review and meta-analysis.BMC cardiovascular disorders · 2023Pooled it
- Beyond genetics: how environmental stressors drive pediatric hypertension risk.Pediatric nephrology (Berlin, Germany) · 2026Review
- The Use of Routine Laboratory 17-Hydroxyprogesterone for Identification of Cases of 21-Hydroxylase Deficiency Congenital Adrenal Hyperplasia.Clinical endocrinology · 2026Article
- Screening for hypertension in the inpatient environment (SHINE): a prospective diagnostic accuracy study among adult hospital patients.BMJ open · 2026Article
- Cardiovascular risk assessment among undiagnosed hypertensive older adults in India: Evidence from LASI, wave-1.Journal of family medicine and primary care · 2025Article
- Article
- Both hot- and thermoneutral-water immersion reduce 24-h blood pressure in people with hypertension: A randomized crossover study.Temperature (Austin, Tex.) · 2025Article
- High blood pressure in the emergency department as an opportunistic screening tool for detection of hypertension.Journal of human hypertension · 2025Article
- How well do obesity indices predict undiagnosed hypertension in the Persian cohort (Shahedieh) adults community population of all ages?Health science reports · 2024Article
- Awareness of Hypertension in Reproductive-Aged Women Living With Chronic Kidney Disease.CJC open · 2024Article
- Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study.Tropical medicine and health · 2024Article
- Prevalence of Chronic Kidney Disease among Diagnosed and Undiagnosed Hypertensive Individuals in the General Population of the Northern Region of Senegal.Kidney & blood pressure research · 2024Article
- Insulin Resistance Surrogates May Predict HTN-HUA in Young, Non-Obese Individuals.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024Article
- The importance of blood pressure measurements at the emergency department in detection of arterial hypertension.Cardiology journal · 2024Article
- A Machine Learning Model Based on microRNAs for the Diagnosis of Essential Hypertension.Non-coding RNA · 2023Article
- Diagnosing hypertension in primary care: a retrospective cohort study to investigate the importance of night-time blood pressure assessment.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundHypertension is a major cause of morbidity and mortality. In community populations the prevalence of hypertension, both in diagnosed and undiagnosed states, has been widely reported. However, estimates for the prevalence of hospitalized patients with average blood pressures (BPs) that meet criteria for the diagnosis of hypertension are lacking. We aimed to estimate the prevalence of patients in a UK hospital setting, whose average BPs meet current international guidelines for hypertension diagnosis.
methodsWe performed a retrospective cross-sectional observational study of patients admitted to adult wards in 4 acute hospitals in Oxford, United Kingdom, between March 2014 and April 2018.
resultsWe identified 41,455 eligible admitted patients with a total of 1.7 million BP measurements recorded during their hospital admissions. According to European ESC/ESH diagnostic criteria for hypertension, 21.4% (respectively 47% according to American ACC/AHA diagnostic criteria) of patients had a mean BP exceeding the diagnostic threshold for either Stage 1, 2, or 3 hypertension. Similarly, 5% had a mean BP exceeding the ESC/ESH (respectively 13% had a mean BP exceeding the ACC/AHA) diagnostic criteria for hypertension, but no preexisting diagnostic code for hypertension or a prescribed antihypertensive medication during their hospital stay.
conclusionsLarge numbers of hospital inpatients have mean in-hospital BPs exceeding diagnostic thresholds for hypertension, with no evidence of diagnosis or treatment in the electronic record. Whether opportunistic screening for in-hospital high BP is a useful way of detecting people with undiagnosed hypertension needs evaluation.
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