Journal article
Blood pressure management in emergency department patients with spontaneous intracerebral hemorrhage
Blood pressure monitoring, Vol.25(6), pp.318-323
12/2020
DOI: 10.1097/MBP.0000000000000473
PMID: 32740294
Abstract
Despite the well documented importance of blood pressure management in patients with spontaneous intracerebral hemorrhage (sICH), little is known about whether emergency departments (EDs) are able to achieve close monitoring and precise management. Our study characterizes ED monitoring and management of blood pressure in sICH patients.
This is a retrospective study of adults with sICH and elevated intracranial pressure. Patients who were admitted from any referring ED to our CCRU from 1 August 2013 to 30 September 2015 were included. We graphically assessed the association between average minutes between blood pressure measurements and average minutes between administration of antihypertensives. We also performed logistic regression to evaluate factors associated with close blood pressure monitoring and the achievement of goal blood pressure in patients with sICH who presented with hypertension.
Of 115 patients, 73 presented to the ED with SBP above 160 mmHg. Length of stay in the ED was significantly associated with a longer period between blood pressure measurements. Longer periods between blood pressure measurements were a significant determinant of failure to achieve blood pressure goal in sICH patients. Longer periods between blood pressure measurements were significantly associated with longer periods between administration of antihypertensives.
Our study suggests that blood pressure monitoring is related to the frequency of blood pressure interventions and achievement of adequate blood pressure control in patients with sICH. There is significant variability in EDs' achievement of the recommended close blood pressure monitoring and management in patients with sICH.
Details
- Title: Subtitle
- Blood pressure management in emergency department patients with spontaneous intracerebral hemorrhage
- Creators
- Diane Kuhn - University of Maryland, BaltimoreLaura Tiffany - University of Maryland, BaltimoreRicha Beher - University of Maryland, College ParkSharon Boswell - University of Maryland Medical CenterDiego Giraldo - University of Maryland, BaltimoreMubariz Hassan - University of Maryland Medical CenterDaniel J Haase - University of Maryland, BaltimoreAreesha Khan - University of Maryland, BaltimoreSoha Hassan - University of Maryland, BaltimoreAnn Matta - University of Maryland Medical CenterMayga Sapru - University of Maryland, College ParkQuincy K Tran - University of Maryland, Baltimore
- Resource Type
- Journal article
- Publication Details
- Blood pressure monitoring, Vol.25(6), pp.318-323
- DOI
- 10.1097/MBP.0000000000000473
- PMID
- 32740294
- NLM abbreviation
- Blood Press Monit
- ISSN
- 1359-5237
- eISSN
- 1473-5725
- Language
- English
- Date published
- 12/2020
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984920751702771
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