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Arterial Monitoring in Hypertensive Emergencies: Significance for the Critical Care Resuscitation Unit

التفاصيل البيبلوغرافية
العنوان: Arterial Monitoring in Hypertensive Emergencies: Significance for the Critical Care Resuscitation Unit
المؤلفون: Quincy K. Tran, Dominique Gelmann, Manahel Zahid, Jamie Palmer, Grace Hollis, Emily Engelbrecht-Wiggans, Zain Alam, Ann Elizabeth Matta, Emily Hart, Daniel J. Haase
المصدر: Western Journal of Emergency Medicine, Vol 24, Iss 4 (2023)
بيانات النشر: eScholarship Publishing, University of California, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
LCC:Medical emergencies. Critical care. Intensive care. First aid
مصطلحات موضوعية: Medicine, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
الوصف: Introduction: Blood pressure measurement is important for treating patients. It is known that there is a discrepancy between cuff blood pressure vs arterial blood pressure measurement. However few studies have explored the clinical significance of discrepancies between cuff (CPB) vs arterial blood pressure (ABP). Our study investigated whether differences in CBP and ABP led to change in management for patients with hypertensive emergencies and factors associated with this change. Methods: This prospective observational study included adult patients admitted between January 2019–May 2021 to a resuscitation unit with hypertensive emergencies. We defined clinical significance of discrepancies as a discrepancy between CBP and ABP that resulted in change of clinical management. We used stepwise multivariable logistic regression to measure associations between clinical factors and outcomes. Results: Of 212 patients we analyzed, 88 (42%) had change in management. Mean difference between CBP and ABP was 17 milligrams of mercury (SD 14). Increasing the existing rate of antihypertensive infusion occurred in 38 (44%) patients. Higher body mass index (odds ratio [OR] 1.04, 95% confidence Interval [CI] 1.0001–1.08, P-value
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1936-9018
Relation: https://escholarship.org/uc/item/470938j4; https://doaj.org/toc/1936-9018
DOI: 10.5811/westjem.59373
URL الوصول: https://doaj.org/article/a9fbf2ed416b4de789c652490c509601
رقم الأكسشن: edsdoj.9fbf2ed416b4de789c652490c509601
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19369018
DOI:10.5811/westjem.59373