Evidence map›Paper›PMID 41182005›Full record

ArticleJournal of the American Heart Association2025

High Burden of Markedly Elevated Blood Pressure Among Adults Presenting to a Community Emergency Department: An Analytical Cross-Sectional Study at a Teaching Hospital in Missouri, USA.

Admire Hlupeni, Craig Reiss

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Admire HlupeniInternal Medicine Residency Department St Luke's Hospital Chesterfield MO USA.ORCID 0000-0003-3841-2951
Craig ReissInternal Medicine Residency Department St Luke's Hospital Chesterfield MO USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on prevalence and risk factors for markedly elevated blood pressure (MEBP) (≥180/120 mm Hg) in community emergency departments (EDs) in the United States are limited.

methodsWe conducted an analytical cross-sectional study to estimate MEBP prevalence and determinants at a community teaching hospital emergency department in the Midwest. Adults (≥18 years) presenting between January 1 and December 31, 2024 were included. Descriptive statistics summarized the data. Chi-square tests and logistic regression assessed associations. Variables with

resultsOf 41 676 individuals screened; 40 135 were included. MEBP prevalence was 6.93% (95% CI, 6.69-7.20; 2783/40135). Compared with patients without MEBP, those with MEBP were older (69.3 [17.5] versus 61.0 [21.1] years), more often insured (96.0% versus 94.2%) and with a primary care provider (84.8% versus 80.0%) but less likely to have had health care contact in the prior 3 months (21.4% versus 26.1%). They reported lower marijuana use (10.5% versus 13.7%) and had more comorbidities. In adjusted analyses, recent health care contact was associated with lower odds of MEBP (adjusted odds ratio [aOR], 0.66 [95% CI, 0.60-0.72]), whereas older age (aOR per additional year, 1.02 [95% CI, 1.02-1.02]), multimorbidity (aOR per additional comorbidity, 1.32 [95% CI, 1.20-1.45]), and Black race (aOR, 1.40 [95% CI, 1.24-1.58]) were associated with higher odds.

conclusionsMEBP is common in community emergency departments and is more frequent among older adults, Black patients, and those with multimorbidity, but less common among those with recent health care contact.

Indexed as

Blood PressureEmergency Service, HospitalHospitals, TeachingHypertensionAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedMissouriPrevalenceRisk Factorscross‐sectional studyemergency departmenthypertensionmarkedly elevated blood pressurerisk factors

Identifiers

PMID41182005
PMCPMC12684538

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.