دورية أكاديمية
Funduscopy: Yes or no? Hypertensive emergencies and retinopathy in the emergency care setting; a retrospective cohort study
| العنوان: | Funduscopy: Yes or no? Hypertensive emergencies and retinopathy in the emergency care setting; a retrospective cohort study |
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| المؤلفون: | Charlotte M. Nijskens, Saskia R. Veldkamp, Dymph J. Van Der Werf, Arnold H. Boonstra, Marije Ten Wolde |
| المصدر: | The Journal of Clinical Hypertension, Vol 23, Iss 1, Pp 166-171 (2021) |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | emergency department, funduscopic examination, funduscopy, hypertensive emergency, retinopathy, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Abstract 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 |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1751-7176 1524-6175 |
| العلاقة: | https://doaj.org/toc/1524-6175Test; https://doaj.org/toc/1751-7176Test |
| DOI: | 10.1111/jch.14064 |
| الوصول الحر: | https://doaj.org/article/ec07889d17ab497bbaf13f256f8c5a82Test |
| رقم الانضمام: | edsdoj.07889d17ab497bbaf13f256f8c5a82 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17517176 15246175 |
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| DOI: | 10.1111/jch.14064 |