Evaluation of the Medical Care of Patients with Hypertension in an Emergency Department and in Ambulatory Hypertension Unit

Nobre, Fernando; Chauchar, Fause; Viana, Jaciara Machado; Pereira, Gustavo José Veras; Lima, Nereida Kilza da Costa

doi:10.1590/s0066-782x2002000200003

Cited by 9 publications

(7 citation statements)

References 5 publications

(2 reference statements)

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“…No domicílio, o idoso precisa gerenciar suas medicações e o uso de inúmeros medicamentos torna-se um fator de risco, podendo acarretar a hospitalização (15) . Idosos que recebem medicações desnecessárias e abusivas podem sofrer efeitos indesejáveis, aumentando a morbidade e mortalidade (16) .…”

Section: Resultsunclassified

Fatores Desencadeantes De Quedas No Domicílio Em Uma Comunidade De Idosos

Lopes¹,

Violin²,

Lavagnoli³

et al. 2007

Cogitare Enferm.

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As quedas que acometem o idoso em seu domicílio ocorrem de maneira freqüente e podem acarretar muitas seqüelas ou até mesmo a morte, dependendo da gravidade. Trata-se de estudo descritivo exploratório que teve por objetivo identificar as causas mais freqüentes de quedas em idosos em seus domicílios, num município da região noroeste do Paraná. Os dados foram coletados por meio de entrevista semi-estruturada com 20 idosas, com idade predominante entre 60 a 70 anos, todas com ensino fundamental incompleto. Destas, 11 (55%) sofreram algum tipo de queda nos últimos 10 anos. A maior parte das quedas ocorreu após deslizes em piso molhado e as participantes possuem conhecimentos sobre os fatores causadores de quedas, mas estes obstáculos ainda persistem em seu ambiente. Acredita-se que os fatores que desencadeiam estes acidentes podem ser eliminados do ambiente domiciliar através da adaptação do ambiente e mudanças de hábitos do idoso e da família.

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Section: Resultsunclassified

Fatores Desencadeantes De Quedas No Domicílio Em Uma Comunidade De Idosos

Lopes¹,

Violin²,

Lavagnoli³

et al. 2007

Cogitare Enferm.

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“…Headaches, as the primary complaint, were independently associated with hypertensive pseudocrisis. In this regard, Nobre and associates 16 found that 88% of the patients who complained of a headache were wrongly diagnosed with hypertensive crisis, and Lima and associates 17 obtained better results using analgesics in comparison to anti-hypertensive medications for the clinical picture of "hypertension and headache" in the emergency room. Other publications have been trying to disassociate the headache as a secondary effect of the elevation in BP 18,19 .…”

Section: Discussionmentioning

confidence: 99%

Ocorrência e preditores clínicos de pseudocrise hipertensiva no atendimento de emergência

Sobrinho¹,

Correia²,

Cruz³

et al. 2007

Arq. Bras. Cardiol.

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SummaryObjectives: To describe the prevalence of hypertensive pseudocrisis in patients treated in emergency rooms with substantially elevated blood pressure levels. To compare this prevalence in private and public hospitals. To describe the frequency of wrong treatment for this condition. To identify, during triage, independent predictors of pseudocrisis. To evaluate the prognosis of patients with pseudocrisis. Methods Results: vs vs vsConclusions: There is a high prevalence of hypertensive pseudocrisis in patients when hypertensive crisis is suspected, particularly in the private hospital. The frequency of wrong treatment was similar for both the private and public pseudocrisis has a low rate of lethality.

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“…In Brazil a large fraction of hypertensive patients are also poor and black. As observed for black Americans, most of these Brazilian patients do not have a primary care physician and use emergency services as the main source of care for hypertension 58 …”

Section: From Research To Clinical Practicementioning

confidence: 99%

Meeting the Challenge to Improve the Treatment of Hypertension in Blacks

Lopes

James

Port

et al. 2003

J of Clinical Hypertension

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Hypertension is more prevalent and severe in African descendent populations living outside Africa than in any other population. Given this greater burden of hypertension in blacks, it is increasingly necessary to refine strategies to prevent the disorder as well as improve its treatment and control. This review assesses results from clinical trials on lifestyle and pharmacologic interventions to identify which approaches most effectively prevent adverse hypertension-related outcomes in African descendent populations. The Dietary Approaches to Stop Hypertension (DASH) study provided evidence that a carefully controlled diet rich in fruits, vegetables, low-fat dairy foods, and reduced in saturated fat, total fat, and cholesterol (i.e., the DASH diet) reduces blood pressure in blacks and is well accepted. The combination of the DASH diet with reduction in dietary sodium below 100 mmol/d may provide a reduction in blood pressure beyond that reached by the DASH diet alone. Physical exercise and interventions to reduce psychological stress may also reduce blood pressure in blacks. Strong evidence from numerous studies is a compelling argument for continuing to recommend diuretics and beta blockers as first-line antihypertensive therapy for persons of all races. Some new studies also favor angiotensin-converting enzyme inhibitors as first-line antihypertensive drugs. The African American Study of Kidney Disease and Hypertension provided evidence that an angiotensin-converting enzyme inhibitor-based treatment program is more beneficial than calcium channel blockers and beta blockers in reducing the progression of renal failure in blacks with hypertensive nephropathy. Studies in patients with diabetes have also shown evidence that both angiotensin-converting enzyme inhibitors and angiotensin receptor antagonists are more effective than other classes of antihypertensives in reducing adverse renal events. Studies to evaluate the effects of the new antihypertensives in improving outcomes in blacks living outside the United States are needed.

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Evaluation of the Medical Care of Patients with Hypertension in an Emergency Department and in Ambulatory Hypertension Unit

Cited by 9 publications

References 5 publications

Fatores Desencadeantes De Quedas No Domicílio Em Uma Comunidade De Idosos

Fatores Desencadeantes De Quedas No Domicílio Em Uma Comunidade De Idosos

Ocorrência e preditores clínicos de pseudocrise hipertensiva no atendimento de emergência

Meeting the Challenge to Improve the Treatment of Hypertension in Blacks

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