Funduscopy: Yes or no? Hypertensive emergencies and retinopathy in the emergency care setting; a retrospective cohort study
| Autor: | Saskia R Veldkamp, Dymph J Van Der Werf, Arnold H Boonstra, Charlotte M Nijskens, Marije Ten Wolde |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Emergency Medical Services funduscopy emergency department Endocrinology Diabetes and Metabolism funduscopic examination Blood Pressure 030204 cardiovascular system & hematology Care setting 03 medical and health sciences 0302 clinical medicine Retinal Diseases Internal medicine retinopathy Internal Medicine medicine Humans Hypertensive emergency In patient 030212 general & internal medicine Retrospective Studies Original Paper business.industry Retrospective cohort study Emergency department medicine.disease Blood pressure hypertensive emergency Ischemic stroke Hypertension Emergencies Cardiology and Cardiovascular Medicine business Emergency Service Hospital Retinopathy Funduscopy in Hypertensive Emergency |
| Zdroj: | The Journal of Clinical Hypertension |
| ISSN: | 1751-7176 |
| Popis: | According to international guidelines, patients with a suspected hypertensive emergency (HE) admitted to the emergency department (ED) should undergo comprehensive evaluation including funduscopic examination. However, funduscopy is not always readily available and little is known about the prevalence of retinopathy among these patients in the ED setting. In order to characterize patients who should undergo funduscopy, we studied the prevalence, characteristics and clinical outcome in patients with a suspected HE and retinopathy grade III/IV. We conducted a retrospective cohort study of consecutive patients with severe elevation of blood pressure (BP) admitted to the ED between 2012 and 2015. Patients with a systolic blood pressure (SBP) ≥180 mm Hg or diastolic blood pressure (DBP) ≥120 mm Hg at time of presentation were included. A total of 271 patients were included, of whom 18 (6.6%; 95%CI 3.9‐10.5) had a HE. In 121 patients (44.6%; 95%CI 37.1‐53.3), funduscopy was performed, of whom 17 (14.0%; 95%CI 8.2‐22.5) had retinopathy grade III/IV. Mean SBP and DBP were significantly higher in patients with retinopathy (P |
| Databáze: | OpenAIRE |
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