Blood Pressure in the Emergency Department

Karolinska Institutet300,272 enrolled

Overview

This is a cohort study based on a large sample (\> 600 000) of emergency department (ED) visits from two university hospital EDs. Information on incident disease after discharge from the ED will be collected through linkage to Swedish national in-patient register and cause of death register. The importance of blood pressure measured at the ED for incident atherosclerotic cardiovascular disease during long term follow up will be studied by Cox-regression analysis

Study Type

OBSERVATIONAL

Enrollment

300,272

Conditions

Blood Pressure Hypertension Emergencies

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Attending the Emergency departments (ED) at Karolinska University hospital in Solna or Huddinge during the specified time period * Record of blood pressure measurement from the ED-visit Exclusion Criteria:

Outcomes

Primary Outcomes

Incident Atherosclerotic Cardiovascular Disease (ASCVD)

ASCVD was defined as a combination of fatal coronary heart disease (CHD ), (I210-I214, I219, I220, I221, I228, I229, I461 or I469), non-fatal MI (I210-I214, I219, I220, I221, I228 or I229), fatal and non-fatal ischemic stroke (I630-I635, I638 or I639). According to the International Classification of Diseases 10th edition (ICD-10).

Time frame: 20161231

Secondary Outcomes

Incident Myocardial infarction (MI)

Fatal and non-fatal Myocardial infarction (MI) I210-I214, I219, I220, I221, I228 or I229. I200 were included if combined with intervention procedure codes FNA-FNG, FNW) , according to the International Classification of Diseases 10th edition (ICD-10).

Time frame: 2016-12-31

Incident All-cause stroke

Fatal and non-fatal all-cause stroke. I61, I630-I635, I638, I639, I64, according to the International Classification of Diseases 10th edition (ICD-10).

Time frame: 2016-12-31

Incident Heart failure

I50 according to the International Classification of Diseases 10th edition (ICD-10).

Time frame: 2016-12-31

Incident chronic kidney disease (CKD)

I120, I131 E10.2-E10.5,E10.7,E11.2-E11.5, E11.7,E12.2-E12.5,E12.7, E13.2- E13.5,E13.7,E14.2-E14.5, E14.7 N032-037, N052-057, N18, N19, N250, Z49,Z49.0,Z49.1, Z49.2,Z49.01, Z49.02,Z49.3,Z49.31,Z49.32, Z99.2, I77.0 Z94.0 according to the International Classification of Diseases 10th edition (ICD-10).

Time frame: 2016-12-31

Data from ClinicalTrials.gov

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