Prevalence and management of hypertension in the inpatient setting: a systematic review

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
R Neal AxonBrent M Egan

Abstract

Hypertension (HTN) is a major cardiovascular risk factor yet control rates remain suboptimal. Thus, improving recognition, treatment, and control of HTN by focusing on novel populations such as hospitalized patients is warranted. Current consensus guidelines do not address inpatient HTN, and little is known about HTN prevalence or patterns of care in this setting. We conducted a systematic review of English-language studies published in 1976 or later that reported on HTN prevalence and care patterns among adult inpatients. We included MEDLINE-indexed randomized-controlled trials, meta-analyses, and observational studies that: (1) reported estimates of the prevalence of HTN in the inpatient setting, and (2) used HTN diagnosis or treatment as a primary focus. We excluded randomized, controlled trials that recorded measures of inpatient blood pressure but whose focus was not HTN. We identified 9 studies meeting inclusion criteria, and in those studies, HTN was highly prevalent among inpatients, ranging from 50.5% to 72%. Intensification of antihypertensive treatment was inconsistent, and 37% to 77% of hypertensive patients remained hypertensive at the time of discharge. Most patients with inpatient HTN continued to have elevated b...Continue Reading

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Citations

Sep 13, 2015·Current Cardiology Reports·R Neal AxonRyan Buckley
Oct 26, 2016·BMC Research Notes·Carsten P BramlageGerhard Anton Müller
Jan 7, 2017·The Nurse Practitioner·Mary M Franklin, Mary Anne McCoy
Sep 7, 2014·Journal of Cardiovascular Pharmacology and Therapeutics·Kathryn A BrowerGeoffrey C Wall
Oct 8, 2020·Microcirculation : the Official Journal of the Microcirculatory Society, Inc·Suraj KrishnanRajesh Mohandas
Nov 11, 2019·The American Journal of Medicine·Bryan StanistreetJohn D Bisognano
Apr 18, 2021·American Journal of Hypertension·Kelsi Bean-ThompsonJose Nicolas Codolosa
Jun 3, 2021·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Krishnam R PenmatsaAnkur Gupta

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