The Effect of Pre-discharge Blood Pressure of Patients With Asymptomatic Severe Hypertension in Emergency Department
Status:
Completed
Trial end date:
2015-12-01
Target enrollment:
Participant gender:
Summary
The current guideline of asymptomatic severe hypertension (ASH) treatment in emergency
department (ED) recommends through low level of evidence that the patients should not be
rapidly decreased their BP in ED but instead receive oral antihypertensive treatment and
close outpatient follow-up is needed. Unfortunately, there was some ambiguity in the time
point of BP measurement in ED described in the past literature because high BP on ED
admission may significantly decrease within hours without any medications. The importance of
pre-ED discharge BP, which can still be critically high, that may affect the follow-up
outcome has never been investigated. The study aim of this study is to evaluate the
physicians' treatment strategies as well as immediate clinical outcomes between patients with
severely- and moderately-elevated pre-discharge BP after management of ASH its in ED during
the recent recommendation. The secondary outcome is to compare the BP at follow-up in these
two groups.