000 03650nam a22006017a 4500
008 240807s20242024 xxu||||| |||| 00| 0 eng d
022 _a0146-2806
024 _aS0146-2806(24)00249-4 [pii]
040 _aOvid MEDLINE(R)
099 _a38704130
245 _aSociodemographic predictors of hypertensive crisis in the hospitalized population in the United States. [Review]
251 _aCurrent Problems in Cardiology. 49(7):102610, 2024 Jul.
252 _aCurr Probl Cardiol. 49(7):102610, 2024 Jul.
253 _aCurrent problems in cardiology
260 _c2024
260 _fFY2024
260 _p2024 Jul
265 _sppublish
265 _tMEDLINE
266 _d2024-08-07
266 _z2024/05/04 19:30
501 _aAvailable online from MWHC library: 1995 - 2009, Available in print through MWHC library:1999-2007
520 _aCONCLUSIONS: Being of a minority population, male sex, low-income status, and uninsured were associated with a higher likelihood of hypertensive crisis. The black population was the youngest and had the highest risk of hypertensive emergencies. Targeted interventions and healthcare policies should be implemented to address these disparities and enhance patient outcomes. Copyright © 2024 Elsevier Inc. All rights reserved.
520 _aINTRODUCTION: Hypertensive crisis (HC) encompasses hypertensive emergencies (HE) and urgencies (HU).
520 _aMETHODS: A retrospective analysis of the 2016-2020 National Inpatient Sample was conducted, and all hospitalizations for HC were identified with their ICD-10 codes. A probability estimation of outcomes was calculated by performing multivariable logistic regression analysis, which took confounders into account. Our primary outcomes were SDs of HC. Secondary outcomes were myocardial infarction (MI), stroke, acute kidney injury (AKI), and transient ischemic attack (TIA).
520 _aRESULTS: The minority populations were more likely than the Whites to be diagnosed with HCs: Black 2.7 (2.6-2.9), Hispanic 1.2 (1.2-1.3), and Asian population 1.4 (1.3-1.5), (p < 0.0001, all). Furthermore, being male 1.1 (1.09-1.2, p < 0.0001), those with 'self-pay' insurance 1.02 (1.01-1.03, p < 0.0001), and those in the <25th percentile of median household income 1.3 (1.2-1.3, p < 0.0001), were more likely to be diagnosed with HCs. The Black population had the highest likelihood of end-organ damage: MI 2.7 (2.6-2.9), Stroke 3.2 (3.1-3.4), AKI 2.4 (2.2-2.5), and TIA 2.8 (2.7-3.0), (p < 0.0001, all), compared to their Caucasian counterpart.
546 _aEnglish
650 _a*Hospitalization
650 _a*Hypertension
650 _aAdult
650 _aAged
650 _aEmergencies/ep [Epidemiology]
650 _aFemale
650 _aHospitalization/sn [Statistics & Numerical Data]
650 _aHumans
650 _aHypertension/ep [Epidemiology]
650 _aHypertensive Crisis
650 _aMale
650 _aMiddle Aged
650 _aRetrospective Studies
650 _aRisk Factors
650 _aSocioeconomic Factors
650 _aUnited States/ep [Epidemiology]
650 _zAutomated
651 _aMedStar Union Memorial Hospital
657 _aJournal Article
657 _aMulticenter Study
657 _aReview
700 _aChike, Assumpta
_bMUMH
790 _aEvbayekha E, Okorare O, Ishola Y, Eugene O, Chike A, Abraham S, Aneke AV, Green JT, Grace AE, Ibeson CE, Ohikhuai E, Okobi OE, Akande PO, Nwafor P, Bob-Manuel T
856 _uhttps://dx.doi.org/10.1016/j.cpcardiol.2024.102610
_zhttps://dx.doi.org/10.1016/j.cpcardiol.2024.102610
942 _cART
_dArticle
999 _c14606
_d14606