Epidemiology of Hypertensive Emergency
Correlates of Nonadherence to Hypertension Treatment in an Inner-City Minority Population
研究概览
详细说明
BACKGROUND:
While less frequent than in the era before effective treatment for hypertension, hypertensive emergency remains a relatively common cause of hospital admission in some sub-populations. In 1989, hypertensive emergency accounted for approximately 60 admissions per year to the Medical Service at Presbyterian Hospital, and a somewhat higher proportion of intensive care unit admissions and utilization. The importance of hypertensive emergency may have been underestimated because the International Classification of Diseases discharge codes included only malignant hypertension, a severe form comprising only about half of the admissions for hypertensive emergency. There had been almost no epidemiologic studies of hypertensive emergency since 1969, and very little was known about risk factors.
DESIGN NARRATIVE:
A matched case-control study design was used. Cases were obtained from admissions to the Medical Service at Presbyterian Hospital. Morbidity and mortality data were obtained by follow-up of the case series.
研究类型
注册 (实际的)
联系人和位置
学习地点
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New York
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New York、New York、美国、10032
- Columbia University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion criteria
1. Patients admitted in the emergency room and for the medical and surgical services at the Presbyterian Hospital and Harlem Hospital Center in New York City
- patients with incidents of hypertensive emergency or hypertensive urgency
- hypertensive patients with other acute conditions who were admitted to the hospital or were treated in the emergency room and released
Exclusion criteria
- Under 21 years of age
- Pregnancy
学习计划
研究是如何设计的?
设计细节
合作者和调查者
调查人员
- 首席研究员:Steven Shea, MD、Hamilton Southworth Professor of Medicine and Professor of Epide, Dept of Medicine General Medicine
出版物和有用的链接
一般刊物
- Shea S, Misra D, Ehrlich MH, Field L, Francis CK. Correlates of nonadherence to hypertension treatment in an inner-city minority population. Am J Public Health. 1992 Dec;82(12):1607-12. doi: 10.2105/ajph.82.12.1607.
- Shea S, Misra D, Ehrlich MH, Field L, Francis CK. Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population. N Engl J Med. 1992 Sep 10;327(11):776-81. doi: 10.1056/NEJM199209103271107.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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