急诊科对头痛患者血压升高的治疗。

Q3 Medicine Acute Medicine Pub Date : 2024-01-01

Lauren Eberhardt, Michelle Jankowski, Brett Todd

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引用次数: 0

摘要

头痛占全球急诊科（ED）就诊人数的 1 - 3%，并与血压（BP）升高有关。目前尚不清楚抗高血压治疗是否有益。这项回顾性研究评估了急诊科头痛患者接受降压治疗对抢救镇痛剂需求、入院率和住院时间（LOS）的影响。共纳入 1385 名患者。其中 366 人接受了抗高血压治疗。接受抗高血压治疗的患者年龄较大（p < 0.001），入院几率增加（p < 0.001），急诊室住院时间延长 2.385 小时（p < 0.001）。在镇痛抢救方面没有发现差异（p < 0.429）。高血压急诊室头痛患者的降压治疗与入院率和急诊室生命周期的延长有关，但在使用镇痛抢救方面没有差异。

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Emergency Department Treatment of Elevated Blood Pressure in the Headache Patient.

Headache accounts for 1 - 3% of emergency department (ED) visits globally and is associated with elevated blood pressure (BP). It is unclear if anti-hypertensive therapy provides benefits. This retrospective study assessed effects of anti-hypertensive therapy in ED headache patients on rescue analgesic need, hospital admissions, and length of stay (LOS). 1385 patients were included. 366 received anti-hypertensive therapy. The anti-hypertensive therapy cohort was older (p < 0.001) with increased odds of admission (p < 0.001) and 2.385 hrs longer ED LOS (p < 0.001). No difference in rescue analgesia was found (p < 0.429). Anti-hypertensive therapy in hypertensive ED headache patients is associated with increased hospital admission and ED LOS, but no difference in rescue analgesia utilization.

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来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.