Association of normal systolic blood pressure in the emergency department with higher in-hospital mortality among hypertensive patients

Eyal Klang, Shelly Soffer, Moni Shimon Shahar, Yiftach Barash, Sara Apter, Eli Konen, Eyal Zimlichman, Grossman Ehud*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Blood pressure is commonly elevated at the hospital emergency department (ED), especially among hypertensive patients. The aim of the study was to determine the association between ED systolic blood pressure (SBP) and in-hospital mortality among hypertensive patients. The authors retrospectively retrieved records of hypertensive patients who were hospitalized during a seven-year period. The authors examined the association between SBP and in-hospital mortality rate, adjusted for demographics, heart rate, comorbidities, laboratory results, and hospital ward. Overall, 96 423 patients were included. Compared to patients with SBP 110-139 mm Hg, the adjusted odds ratios were 4.1 (95% CI, 3.7-4.6) with SBP <90, 1.6 (95% CI, 1.4-1.7) with SBP 90-109, 0.7 (95% CI, 0.6-0.7) with SBP 140-159, 0.7 (95% CI, 0.6-0.7) with SBP 160-179, 0.7 (95% CI, 0.6-0.8) with SBP 180-199, 0.9 (95% CI, 0.7-1.1) with SBP 200-219, and 1.1 (95% CI, 0.7-1.7) with SBP ≥220 mm Hg. Thus, SBP levels of 110-139 mm Hg were associated with higher in-hospital mortality in comparison with elevated SBP up to 200 mm Hg.

Original languageEnglish
Pages (from-to)1841-1848
Number of pages8
JournalJournal of Clinical Hypertension
Volume21
Issue number12
DOIs
StatePublished - 1 Dec 2019

Keywords

  • blood pressure
  • emergency departments
  • essential
  • hypertension
  • in-hospital mortality

Fingerprint

Dive into the research topics of 'Association of normal systolic blood pressure in the emergency department with higher in-hospital mortality among hypertensive patients'. Together they form a unique fingerprint.

Cite this