000			03769nam a22005657a 4500
008			200103s20202020 xxu||||| |||| 00| 0 eng d
022			_a0735-6757
024			_a10.1016/j.ajem.2019.10.004 [doi]
024			_aS0735-6757(19)30658-8 [pii]
040			_aOvid MEDLINE(R)
099			_a31848039
245			_aNational trends in U.S. emergency department visits for chief complaint of hypertension (2006-15).
251			_aAmerican Journal of Emergency Medicine. 38(8):1652-1657, 2020 08.
252			_aAm J Emerg Med. 38(8):1652-1657, 2020 08.
252			_zAm J Emerg Med. 2019 Nov 15
253			_aThe American journal of emergency medicine
260			_c2020
260			_fFY2020
265			_saheadofprint
265			_sppublish
266			_d2020-01-03
268			_aAmerican Journal of Emergency Medicine. 2019 Nov 15
501			_aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520			_aCONCLUSIONS: Despite clinical policies and guidelines recommending against routine diagnostic testing for asymptomatic hypertension, roughly 4 out of 5 ED visits received diagnostic testing, and more than 1 out of 3 received medications. These visits may represent an opportunity for improvement to reduce overutilization, as well as for innovative approaches as EDs expand their role in care coordination across settings. Copyright (c) 2019 Elsevier Inc. All rights reserved.
520			_aMETHODS: We used the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 2006 to 2015 to examine ED visits for chief complaint of hypertension. We examined trends in demographics, diagnostic resource utilization, and clinical management of these patients.
520			_aOBJECTIVES: Hypertension is one of the most common chronic illnesses among adults in the United States. While poor hypertension control is a risk factor for many emergent conditions, asymptomatic hypertension is rarely an emergency. Despite this, patients may present to the emergency department (ED) with a chief complaint of hypertension, and there may be significant variability in the management of these patients. Our objective was to characterize national trends in ED visits for chief complaint of hypertension between 2006 and 2015.
520			_aRESULTS: Between 2006 and 2015, visits with hypertension as the primary chief complaint represented 0.6% of all ED visits, or 6,215,787 national-level ED visits. Of these, 63.9% received a primary diagnosis of hypertension. While there was no significant growth in these visits over the study period, 79.3% of visits received any form of diagnostic testing, with 35.5% of patients receiving an antihypertensive medication. Increasing blood pressure and non-white race were associated with increased odds of receiving antihypertensive medications.
546			_aEnglish
650			_a*Antihypertensive Agents/tu [Therapeutic Use]
650			_a*Emergency Service, Hospital/sn [Statistics & Numerical Data]
650			_a*Hypertension/di [Diagnosis]
650			_a*Hypertension/dt [Drug Therapy]
650			_aAdult
650			_aAged
650			_aAged, 80 and over
650			_aFemale
650			_aHealth Care Surveys
650			_aHumans
650			_aHypertension/ep [Epidemiology]
650			_aMale
650			_aMiddle Aged
650			_aUnited States/ep [Epidemiology]
651			_aMedStar Washington Hospital Center
656			_aEmergency Medicine
657			_aJournal Article
700			_aAmirshahi, Maryann
790			_aLevy PD, Mazer-Amirshahi M, Mullins PM, Pines JM
856			_uhttps://dx.doi.org/10.1016/j.ajem.2019.10.004 _zhttps://dx.doi.org/10.1016/j.ajem.2019.10.004
942			_cART _dArticle
999			_c4845 _d4845