Evidence map›Paper›PMID 35832718›Full record

ArticleArchives of medical science : AMS2022

Hypertensive urgencies during the first wave of the COVID-19 pandemic in a tertiary hospital setting: a U-shaped alarming curve.

Ioannis Leontsinis, Vasilios Papademetriou, Christina Chrysohoou, Maria Kariori, Ioannis Dalakouras, Panayotis Tolis, Christos Fragoulis, Theodoros Kalos, Fotios-Panagiotis Tatakis, Kyriakos Dimitriadis and 10 more

Open access · goldAbstract read
In one paragraph

Article in Archives of medical science : AMS, 2022. 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
0.8field-weighted citation impact, top 30% 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
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  4. Hypertensive emergencies and urgencies: a preliminary report of the ongoing Italian multicentric study ERIDANO.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Article
  5. Article
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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

20 authors at 6 institutions in 4 countries.

Ioannis LeontsinisFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Vasilios PapademetriouCardiology Department, Georgetown University and Veterans Affairs Medical Center, Washington, District of Columbia, USA.
Christina ChrysohoouFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Maria KarioriFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Ioannis DalakourasFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Panayotis TolisFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Christos FragoulisFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Theodoros KalosFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Fotios-Panagiotis TatakisFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Kyriakos DimitriadisFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Michael DoumasSecond Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippokration Hospital, Thessaloniki, Greece.
Helen SambatakouSecond Department of Internal Medicine, HIV Unit, Hippokration General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Maria PirounakiDepartment of Internal Medicine, Hippokration General Hospital, Athens, Greece.
Constantinos MihasFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Niki KatsikiDepartment of Nutritional Sciences and Dietetics, International Hellenic University, Athens, Greece.
Sonu BhaskarDepartment of Neurology, Liverpool Hospital and South Western Sydney Local Health District, Sydney, NSW, Australia.
Georgios TsivgoulisSecond Department of Neurology, Attikon Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Dimitrios TousoulisFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Maciej BanachDepartment of Hypertension, Medical University of Lodz (MUL), Lodz, Poland.
Konstantinos TsioufisFirst Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GRAristotle University of Thessaloniki · GRGeorgetown University · USHippocration General Hospital · GRLiverpool Hospital · AUMedical University of Lodz · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The coronavirus disease 2019 (COVID-19) pandemic provoked unprecedented disturbance in hypertension care, while alarming concerns arose about its long-term consequences. We investigated the trends of emergency visits and admissions regarding uncontrolled hypertension in order to assess the impact of COVID-19 spread on population behavior towards hypertension urgencies during its first wave. Material and methods: Data from daily unscheduled visits and admission counts in the Cardiology sector were collected from the Emergency Department database of a tertiary General Hospital in Athens, Greece for the period January 15 Results: A total of 7,373 patient records were analyzed. Hypertension urgency cases demonstrated a U-shaped distribution in 2020, showing a declining trend during the rapid virus spread, an image that was reversed after the transmission rate's decline. COVID-19 incidence in Greece was inversely associated with uncontrolled hypertension admissions during its declining phase ( Conclusions: Hypertensive urgency-related visits followed a U-shape distribution during the pandemic's first wave with the attendance nadir coinciding with the virus spread peak. This is a complex phenomenon, closely related to increased levels of public stress, disruptions in health care services and to a lesser extent to the imposed restrictions in transportation. The initial relative increase in uncontrolled hypertension-related admissions rate, combined with the later increase of hypertensive urgencies may be indicative of blood pressure deregulation among the studied population, which is multifactorial and potentially detrimental.

Indexed as

blood pressurecoronavirus disease 2019hypertension urgencyuncontrolled hypertension

Identifiers

PMID35832718
PMCPMC9266735
OpenAlexW3199437711

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.