Evidence map›Paper›PMID 40656280›Full record

ReviewCureus2025

Management of Elevated Blood Pressure and Hypertension in Hospitalized Non-hypertensive Patients: A Systematic Guideline Review.

Gift Ojukwu, Adanna N Ezike, Victor U Chukwu, Ogechukwu H Nnabude, Oghenemaro O Oghotuoma, Obianuju Nwauwa, Stella Ehi Egege, Chidiogo N Okafor, Cosmas O Ihezie, Okelue E Okobi and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Gift OjukwuGeneral Practice, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Adanna N EzikeGeriatrics, Forth Valley Royal Hospital, Larbert, GBR.
Victor U ChukwuCollege of Medicine, Abia State University, Uturu, NGA.
Ogechukwu H NnabudeGeneral Medicine, Windsor University School of Medicine, Cayon, KNA.
Oghenemaro O OghotuomaGeneral Internal Medicine, Walsall Healthcare NHS Trust, Walsall, GBR.
Obianuju NwauwaGeneral Medicine, Windsor University School of Medicine, Cayon, KNA.
Stella Ehi EgegeFamily Medicine, International University of the Health Sciences (IUHS), Calgary, CAN.
Chidiogo N OkaforGeneral Medicine, Enugu State University of Science and Technology, Enugu, NGA.
Cosmas O IhezieOrthopedics, Federal Teaching Hospital Owerri, Owerri, NGA.
Okelue E OkobiFamily Medicine, Larkin Community Hospital Palm Springs Campus, Hialeah, USA.
Chisom MokweFamily Medicine, Enugu State University Teaching Hospital Parklane, Enugu, NGA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management practices of elevated blood pressure (BP)/hypertension (HTN) in patients hospitalized for non-hypertensive reasons vary, despite such patients recording BPs much higher compared to the levels proposed for outpatient contexts. Moreover, despite elevated BP being a widespread dilemma faced by most healthcare practitioners (HCPs), there are no universal guidelines to aid with the management of elevated BP in patients hospitalized for non-HTN reasons. Therefore, this systematic review seeks to identify and evaluate the most recent and contemporary guidelines on managing elevated BP and HTN in hospitalized patients for non-hypertensive reasons. To attain the stated objective, a robust method was employed to attain the study objective based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Cochrane guidelines. Further, an exhaustive literature search was performed on online databases, including Medline, PubMed, Embase, Google Scholar, Web of Science, and Scopus. The study inclusion criteria stipulate that, to be included, the selected studies must have been published between 2015 and 2025, and in the English language. The selected studies were appraised using an appraisal tool for cross-sectional studies. Twelve studies satisfied the inclusion criteria and were reviewed. The study has demonstrated that the lack of universal guidelines for elevated BP management for patients hospitalized for non-HTN reasons poses a challenge to many HCPs, despite the existence of significant literature on elevated BP management. Available guidelines have continued to focus on the management of elevated BP and HTN in outpatient contexts. Consequently, HCPs increasingly rely on outpatient BP management guidelines in treating hospitalized patients for non-HTN reasons. Thus, regardless of the existing universal consensus on outpatient BP management, at present, there is no general guidance on inpatient management of elevated BP in non-HTN patients, and this has significantly contributed to the observed variations in practice patterns.

Indexed as

blood pressurehypertensioninpatientpractice guidelinestransitional care

Identifiers

PMID40656280
PMCPMC12255961

What OpenQuestion holds

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Registered trials

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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.