Hospital and out‐of‐hospital mortality in 670 hypertensive emergencies and urgencies |
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| Authors: | Haythem Guiga MD Clémentine Decroux MD Pierre Michelet MD PhD Anderson Loundou Dimitri Cornand MD François Silhol MD Bernard Vaisse MD Gabrielle Sarlon‐Bartoli MD PhD |
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| Affiliation: | 1. Unité d'Hypertension Artérielle, Assistance Publique H?pitaux de Marseille ‐ H?pital de la Timone, Marseille, France;2. Service d'Accueil des Urgences de la Timone, Assistance Publique des H?pitaux de Marseille, Marseille, France;3. UMR MD2, Aix Marseille Université, Marseille, France;4. Direction de la recherche clinique et innovation, unité méthodologique, Assistance Publique H?pitaux de Marseille, Marseille, France;5. Unité INSERM NORT 1062, Faculté de médecine de Marseille, Aix‐Marseille Université, Marseille, France |
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| Abstract: | Long‐term mortality in patients with acute severe hypertension is unclear. The authors aimed to compare short‐term (hospital) and long‐term (12 months) mortality in these patients. A total of 670 adults presenting for acute severe hypertension between January 1, 2015, and December 31, 2015, were included. A total of 57.5% were hypertensive emergencies and 66.1% were hospitalized: 98% and 23.2% of those with hypertensive emergencies and urgencies, respectively (P = .001). Hospital mortality was 7.9% and was significantly higher for hypertensive emergencies (12.5% vs 1.8%, P = .001). At 12 months, 106 patients died (29.4%), mainly from hypertensive emergencies (38.9% vs 8.9%, P = .001). Median survival was 14 days for neurovascular emergencies and 50 days for cardiovascular emergencies. Patients with hypertensive emergencies or urgencies had bad long‐term prognosis. Short‐term mortality is mainly caused by neurovascular emergencies, but cardiovascular emergencies are severe, with high mortality at 12 months. These results justify better follow‐up and treatment for these patients. |
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| Keywords: | hypertensive emergencies hypertensive urgencies mortality outcome |
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