ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
Management of hypertensive emergencies in the emergency department: presenting complaints and outcomes
Abstract
Aims: This study aimed to evaluate the clinical features, management strategies, and outcomes of patients presenting with hypertensive conditions to the emergency department (ED). The findings aim to contribute to the epidemiological profiling of hypertensive emergencies and enhance management practices in EDs.
Methods: A retrospective, observational study was conducted at Ankara Etlik City Hospital ED between September 16 and September 23, 2024. Patients aged ?18 years with a blood pressure (BP) ?140/90 mmHg were included. Pregnant, postpartum, or breastfeeding women and those with incomplete data were excluded. Data were collected on demographics, clinical features, comorbidities, diagnostics, treatments, and outcomes. Statistical analysis involved descriptive and comparative methods, with significance set at p<0.05.
Results: The study included 111 patients (61 females, 55%; 50 males, 45%) with a mean age of 56.36 years. Among them, 10 patients (9.9%) required hospitalization, while 100 (90.1%) were discharged. The mean systolic and diastolic BP were 163.7 mmHg and 89.3 mmHg, respectively. Common presenting symptoms included headache (14.4%), chest pain (5.5%), and hematuria (1.8%), while 10.8% were asymptomatic. Hospitalization rates were significantly higher in female patients (p=0.012). However, no significant associations were found between BP values, diagnostic interventions, or treatments and hospitalization outcomes.
Conclusion: The study highlights the challenges in managing hypertensive patients in EDs, especially those without target organ damage. While female patients showed higher hospitalization rates, factors like BP levels and diagnostic interventions did not correlate with outcomes. Further multicenter and prospective studies are needed to explore these findings and develop individualized, evidence-based approaches for hypertensive patient care in EDs.

Keywords : Hypertension, emergency department, hypertensive crisis, management

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Article available in :
Volume 2, Issue 4, 2024
Page : 78-81
https://doi.org/10.51271/ICJEM-0045
Article Information
Received : 13 Kas 2024
Accepted : 16 Ara 2024
Published : 20 Ara 2024
Corresponding Author :

Nurullah İshak Işık: Department of Emergency Medicine, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Işık Nİ, Turan ÖF. Management of hypertensive emergencies in the emergency department: presenting complaints and outcomes. Intercont J Emerg Med. 2024;2(4):78-81.

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