Masked and White-Coat Hypertension in Two Cohorts of Elderly Subjects, Ambulatory and Hospitalized Patients

Prevalence and management of hypertension in the inpatient setting: A systematic review

“…However, both studies included in this review featuring follow up outpatient BP measures found high degrees of correlation between inpatient and outpatient measures 19, 21. Also, Giantin and colleagues reported that 28.6% of elderly patients who were normotensive based on routine BP measures, were actually hypertensive based on 24‐hour ambulatory BP monitoring 22…”

“…Conen et al21 performed 24‐hour BP monitoring on 314 consecutive stable medical and surgical inpatients admitted to a Swiss University hospital. Giantin et al22 also performed 24‐hour monitoring on a cohort of elderly Italian outpatients and inpatients to determine the prevalence of masked and white coat HTN in different care settings. Finally, Onder et al23 reported on rates of uncontrolled BP and HTN management among known hypertensives as part of a series of cross‐sectional surveys performed on elderly Italian inpatients 23…”

“…High estimates by Onder et al23 (86.9%) stem from selection criteria that included a prior billing diagnosis of HTN coupled with elevated admission blood pressures. Estimates in the 50% to 70% prevalence range were seen in studies that focused on cardiac and general medical inpatients 17–22. Additional findings of included studies are listed in Table 2.…”

“…In two studies, 24‐hour BP monitors produced prevalence estimates ranging from 56.4% to 72.6% 21, 22. In both studies, a significant proportion of patients had masked HTN, or HTN detected by 24‐hour BP monitoring alone.…”

Blood Pressure Control during Hospitalization at the Department of Medicine

“…A review of the peer-reviewed literature on hypertension since 1976 using a predetermined search algorithm revealed that between 56.4% and 72.6% of inpatients had hypertension [3]. Two crosssectional studies in 2006 and 2009 from single-university centers in the U.S. and Italy reported hypertension prevalence of 72.6% among hospitalized patients [4,5].…”