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Trajectory of patients consulting the emergency department for high blood pressure values

OBJECTIVES: Emergency department (ED) visits for high blood pressure are increasing in frequency. We aimed to map those patients’ trajectory, from referral sources to the type of care received at the ED to anticipated actions for future high blood pressure concerns, and to better understand their re...

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Autores principales: Vadeboncoeur, Alain, Marcil, Marie-Joelle, Cyr, Samuel, Gupta, Mona, Cournoyer, Alexis, Minichiello, Anthony, Larose, Dominic, Sirois-Leclerc, Julie, Tardif, Jean-Claude, Morin, Josée, Masson, Violaine, Cossette, Mariève, Brouillette, Judith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345802/
https://www.ncbi.nlm.nih.gov/pubmed/35503402
http://dx.doi.org/10.1007/s43678-022-00307-y
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author Vadeboncoeur, Alain
Marcil, Marie-Joelle
Cyr, Samuel
Gupta, Mona
Cournoyer, Alexis
Minichiello, Anthony
Larose, Dominic
Sirois-Leclerc, Julie
Tardif, Jean-Claude
Morin, Josée
Masson, Violaine
Cossette, Mariève
Brouillette, Judith
author_facet Vadeboncoeur, Alain
Marcil, Marie-Joelle
Cyr, Samuel
Gupta, Mona
Cournoyer, Alexis
Minichiello, Anthony
Larose, Dominic
Sirois-Leclerc, Julie
Tardif, Jean-Claude
Morin, Josée
Masson, Violaine
Cossette, Mariève
Brouillette, Judith
author_sort Vadeboncoeur, Alain
collection PubMed
description OBJECTIVES: Emergency department (ED) visits for high blood pressure are increasing in frequency. We aimed to map those patients’ trajectory, from referral sources to the type of care received at the ED to anticipated actions for future high blood pressure concerns, and to better understand their reasons for consulting the ED for high blood pressure values. METHODS: Between 2018 and 2020, patients who presented to the Montreal Heart Institute’s ED for elevated blood pressure were recruited in a prospective observational study including a post hoc structured telephone interview and medical chart review. Five possible referral sources were predetermined. We provided proportions and 95% confidence intervals. RESULTS: A total of 100 patients were recruited (female: 59%, mean age: 69 ± 12). A majority (93%, 95% CI 88–98%) possessed a home blood pressure device, among which 46% (95% CI 36–56%) remembered receiving advice for its use. The main referral sources for high blood pressure to the ED were self-reference (53%, 95% CI 43–63%), advice of a lay person (19%, 95% CI 11–27%) or a nurse (13%, 95% CI 6–20%). Mainly, patients reported being concerned by concomitant symptoms or experiencing acute medical consequences (44%, 95% CI 34–54%), having followed the recommendation of a third party (33%, 95% CI 24–42%), or having concerns about their medication (6%, 95% CI 1–11%). Two weeks following their ED visits, consulting ED remained the main choice for future concerns about high blood pressure for 27% of participants. When specifically asked if they would return to the ED for elevated blood pressure, 73% (95% CI 64–83%) said yes. CONCLUSIONS: Most patients who consulted the ED for elevated blood pressure values were self-referred. More can be done to promote blood pressure education, effective use of personal blood pressure devices, and recommendations for patients and health professionals when confronted with high blood pressure results. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43678-022-00307-y.
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spelling pubmed-93458022022-08-04 Trajectory of patients consulting the emergency department for high blood pressure values Vadeboncoeur, Alain Marcil, Marie-Joelle Cyr, Samuel Gupta, Mona Cournoyer, Alexis Minichiello, Anthony Larose, Dominic Sirois-Leclerc, Julie Tardif, Jean-Claude Morin, Josée Masson, Violaine Cossette, Mariève Brouillette, Judith CJEM Brief Original Research OBJECTIVES: Emergency department (ED) visits for high blood pressure are increasing in frequency. We aimed to map those patients’ trajectory, from referral sources to the type of care received at the ED to anticipated actions for future high blood pressure concerns, and to better understand their reasons for consulting the ED for high blood pressure values. METHODS: Between 2018 and 2020, patients who presented to the Montreal Heart Institute’s ED for elevated blood pressure were recruited in a prospective observational study including a post hoc structured telephone interview and medical chart review. Five possible referral sources were predetermined. We provided proportions and 95% confidence intervals. RESULTS: A total of 100 patients were recruited (female: 59%, mean age: 69 ± 12). A majority (93%, 95% CI 88–98%) possessed a home blood pressure device, among which 46% (95% CI 36–56%) remembered receiving advice for its use. The main referral sources for high blood pressure to the ED were self-reference (53%, 95% CI 43–63%), advice of a lay person (19%, 95% CI 11–27%) or a nurse (13%, 95% CI 6–20%). Mainly, patients reported being concerned by concomitant symptoms or experiencing acute medical consequences (44%, 95% CI 34–54%), having followed the recommendation of a third party (33%, 95% CI 24–42%), or having concerns about their medication (6%, 95% CI 1–11%). Two weeks following their ED visits, consulting ED remained the main choice for future concerns about high blood pressure for 27% of participants. When specifically asked if they would return to the ED for elevated blood pressure, 73% (95% CI 64–83%) said yes. CONCLUSIONS: Most patients who consulted the ED for elevated blood pressure values were self-referred. More can be done to promote blood pressure education, effective use of personal blood pressure devices, and recommendations for patients and health professionals when confronted with high blood pressure results. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43678-022-00307-y. Springer International Publishing 2022-05-03 2022 /pmc/articles/PMC9345802/ /pubmed/35503402 http://dx.doi.org/10.1007/s43678-022-00307-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visithttp://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Brief Original Research
Vadeboncoeur, Alain
Marcil, Marie-Joelle
Cyr, Samuel
Gupta, Mona
Cournoyer, Alexis
Minichiello, Anthony
Larose, Dominic
Sirois-Leclerc, Julie
Tardif, Jean-Claude
Morin, Josée
Masson, Violaine
Cossette, Mariève
Brouillette, Judith
Trajectory of patients consulting the emergency department for high blood pressure values
title Trajectory of patients consulting the emergency department for high blood pressure values
title_full Trajectory of patients consulting the emergency department for high blood pressure values
title_fullStr Trajectory of patients consulting the emergency department for high blood pressure values
title_full_unstemmed Trajectory of patients consulting the emergency department for high blood pressure values
title_short Trajectory of patients consulting the emergency department for high blood pressure values
title_sort trajectory of patients consulting the emergency department for high blood pressure values
topic Brief Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345802/
https://www.ncbi.nlm.nih.gov/pubmed/35503402
http://dx.doi.org/10.1007/s43678-022-00307-y
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