Risk factors for hypertensive crisis in adult patients: a systematic review

Benenson, Irina; Waldron, Frederick A; Jadotte, Yuri T.; Dreker, Margaret Rush; Holly, Cheryl

doi:10.11124/jbies-20-00243

Cited by 27 publications

(45 citation statements)

References 52 publications

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“…Most previously published studies found a higher prevalence of hypertensive crisis in women [ 10 – 12 ]. But a recent systematic review showed that hypertensive emergencies were more common in men [ 17 ]. The prevalence of hypertensive crisis in women in our study may have been underestimated because we excluded patients with pre-eclampsia and eclampsia.…”

Section: Discussionmentioning

confidence: 99%

“…Generally, male drinkers tend to drink more often and more heavily than females do [ 24 ]. A recent systematic review on hypertensive crises showed that the risk of hypertensive crisis is higher in patients with unhealthy alcohol consumption [ 17 ]. The recent review also showed that the risk of the hypertensive crisis was higher in patients with a history of a comorbid cardiovascular condition such as stroke [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review on hypertensive crises showed that the risk of hypertensive crisis is higher in patients with unhealthy alcohol consumption [ 17 ]. The recent review also showed that the risk of the hypertensive crisis was higher in patients with a history of a comorbid cardiovascular condition such as stroke [ 17 ]. The proportion of strokes in men in our study was significantly higher than in our previous study.…”

Section: Discussionmentioning

confidence: 99%

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Gender Differences in Cardiovascular Risk Factors, Clinical Presentation, and Outcome of Patients Admitted with a Hypertensive Crisis at the Buea Regional Hospital, Cameroon

Nkoké

Jingi

Noubiap

et al. 2022

International Journal of Hypertension

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Background. Several recent studies have shown differences in the risk profile and outcome of cardiovascular diseases between men and women, with a dearth of data from African populations. This study aimed to examine gender differences in a group of patients from Cameroon hospitalized with a hypertensive crisis. Methods. We conducted a cross-sectional study from June 2018 until June 2019. The criteria to define a hypertensive crisis (HC) were systolic and/or diastolic blood pressure should be ≥180/110 mmHg. We compared the clinical presentation and outcome of males versus females. Results. Out of the 1536 patients admitted, 95 (6.2%) had an HC. There were 49 (51.6%) men. There was no significant age difference between men and women (52.7 years vs. 49.3 years, p = 0.28 ). Alcohol consumption ( p < 0.0001 ), previous stroke ( p = 0.04 ), and smoking ( p = 0.03 ) were significantly higher in men compared to women. Men had a higher proportion of psychomotor agitation ( p = 0.05 ). There was an equal proportion of men and women with hypertensive emergencies. Although acute left ventricular failure was most frequent in women (46.4% vs 42.9%), cerebral infarction (14.3% vs 17.9%), and acute coronary syndrome (0% vs 7.1%) were higher in men, the differences were not statistically significant (all p > 0.05 ). Case fatality was also higher in men compared to women but the difference was not statistically significant. Conclusions. Men admitted for an HC had a significantly higher cardiovascular risk burden and higher psychomotor agitation. However, there were no significant differences in the types of hypertensive emergencies and outcomes between men and women.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Gender Differences in Cardiovascular Risk Factors, Clinical Presentation, and Outcome of Patients Admitted with a Hypertensive Crisis at the Buea Regional Hospital, Cameroon

Nkoké

Jingi

Noubiap

et al. 2022

International Journal of Hypertension

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“…The Joanna Briggs Institute Critical Appraisal Tools were used to classify each selected study as good, moderate, or poor regarding the risk of bias. The percentage of "Yes" votes was equal to or less than 50%, 51–80%, and more than 80% for poor, moderate, or good quality respectively [ 13 ]. The assessment of an item was marked "Yes" if the description met the criteria set for the assessment, otherwise, the assessment was "No".…”

Section: Methodsmentioning

confidence: 99%

Glycaemic control among type 2 diabetes patients in sub-Saharan Africa from 2012 to 2022: a systematic review and meta-analysis

Lubaki

Omole

Francis

2022

Diabetol Metab Syndr

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Background There is an increased burden of diabetes globally including in sub-Saharan Africa. The literature shows that glycaemic control among type 2 diabetes patients is poor in most countries in sub-Saharan Africa. Understanding the factors influencing glycaemic control in this region is therefore important to develop interventions to optimize glycaemic control. We carried out a systematic review to determine the prevalence and factors associated with glycaemic control in sub-Saharan Africa to inform the development of a glycaemic control framework in the Democratic Republic of the Congo. Methods We searched five databases (African Index Medicus, Africa-Wide Information, Global Health, PubMed, and Web of Science) using the following search terms: type-2 diabetes, glycaemic control, and sub-Saharan Africa. Only peer-reviewed articles from January 2012 to May 2022 were eligible for this review. Two reviewers, independently, selected articles, assessed their methodological quality using Joanna Briggs checklists, and extracted data. A meta-analysis was performed to estimate the prevalence of glycaemic control. Factors associated with glycaemic control were presented as a narrative synthesis due to heterogeneity as assessed by the I2. Results A total of 74 studies, involving 21,133 participants were included in the review. The pooled prevalence of good glycaemic control was 30% (95% CI:27.6–32.9). The glycaemic control prevalence ranged from 10–60%. Younger and older age, gender, lower income, absence of health insurance, low level of education, place of residence, family history of diabetes, longer duration of diabetes, pill burden, treatment regimen, side effects, use of statins or antihypertensives, alcohol consumption, smoking, presence of comorbidities/complications, and poor management were associated with poor glycaemic control. On the other hand, positive perceived family support, adequate coping strategies, high diabetes health literacy, dietary adherence, exercise practice, attendance to follow-up, and medication adherence were associated with good glycaemic control. Conclusion Suboptimal glycaemic control is pervasive among patients with type-2 diabetes in sub-Saharan Africa and poses a significant public health challenge. While urgent interventions are required to optimize glycaemic control in this region, these should consider sociodemographic, lifestyle, clinical, and treatment-related factors. This systematic review and meta-analysis protocol is registered in PROSPERO under CRD 42021237941.

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“…Ressalta-se que essa terminologia foi listada no léxico médico na década de 30, já que naquele período, os pacientes com essa condição apresentaram um prognóstico semelhante aos pacientes vítimas do câncer. Contudo, percebeu-se que os medicamentos anti-hipertensivos diminuíam com segurança a pressão arterial, melhorando os níveis pressóricos e diante disso, o termo agora é considerado desatualizado, passando a ser conhecido por crise hipertensiva (Benenson et al, 2019).…”

Section: Introductionunclassified

Aspectos clínicos e principais condutas realizadas em situações de urgências e emergências hipertensivas: uma revisão narrativa

Souza

Oliveira²,

Cunha³

et al. 2022

RSD

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A crise hipertensiva é uma entidade clínica significativa com considerável mortalidade e morbidade, apresentando lesões de órgãos em muitos pacientes, fator este que dificulta significativamente a qualidade de vida. O objetivo foi oferecer uma breve revisão narrativa sobre a abordagem da crise hipertensiva diante das terminologias ‘urgência hipertensiva’ e ‘emergência hipertensiva’, a fim de compreender sobre os aspectos clínicos e as principais condutas realizadas no atendimento, articulando com a atuação do profissional enfermeiro frente a esta condição clínica. Esta pesquisa foi elaborada a partir de levantamento bibliográfico nas bases de dados científicas das bibliotecas virtuais Scientific Electronic Library Online (SCIELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Google Acadêmico e Biblioteca Virtual de Saúde (BVS), tendo como delimitação temporal as publicações entre 2015 e 2020. Diante dos resultados obtidos, verificou-se que todos os artigos apresentaram uma abordagem sobre crise hipertensiva nos serviços de urgência e emergência. Verificando-se que tanto são utilizadas terminologias de crise hipertensiva, como também são utilizados os termos ‘urgência hipertensiva’ e ‘emergência hipertensiva’. É relevante destacar sobre a necessidade de um melhor atendimento por parte da equipe de enfermagem, porque lidam diretamente e frequentemente com os pacientes, utilizando a classificação de risco como instrumento essencial no redirecionamento do fluxo do atendimento em serviços de urgência e emergência. As demandas de crise hipertensiva no setor de urgência e emergência, sinalizam a necessidade no aprimoramento às ações de promoção e prevenção de saúde local, tendo a atenção primária à saúde, papel fundamental no desenvolvimento dessas estratégias.

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Risk factors for hypertensive crisis in adult patients: a systematic review

Cited by 27 publications

References 52 publications

Gender Differences in Cardiovascular Risk Factors, Clinical Presentation, and Outcome of Patients Admitted with a Hypertensive Crisis at the Buea Regional Hospital, Cameroon

Gender Differences in Cardiovascular Risk Factors, Clinical Presentation, and Outcome of Patients Admitted with a Hypertensive Crisis at the Buea Regional Hospital, Cameroon

Glycaemic control among type 2 diabetes patients in sub-Saharan Africa from 2012 to 2022: a systematic review and meta-analysis

Aspectos clínicos e principais condutas realizadas em situações de urgências e emergências hipertensivas: uma revisão narrativa

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