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Asymptomatic Hypertensive Urgency at a VA Emergency Department

Caitlin M Dowd1, Brittany Gallagher1, Chad S Kessler1

  • 1is an Ambulatory Clinical Pharmacy Specialist at The Johns Hopkins Hospital in Baltimore, Maryland. is an Ambulatory Clinical Pharmacy Specialist at the Tallahassee Veterans Affairs Health Care Center in Florida. is Professor of Medicine at Duke University in Durham, North Carolina, and is affiliated with the Durham VAMC. is the Emergency Medicine Clinical Pharmacist at North Florida South Georgia Veterans Health System in Gainesville, Florida.

Federal Practitioner : for the Health Care Professionals of the VA, Dod, and PHS
|February 16, 2019
PubMed

Insights

Managing asymptomatic hypertension in primary care settings is as effective and more cost-effective than emergency department treatment. This approach optimizes patient outcomes and healthcare resource allocation.

Area of Science:

  • Cardiology
  • Primary Care Medicine
  • Health Economics

Background:

  • Asymptomatic hypertension poses a management challenge in healthcare delivery.
  • Current management strategies often involve emergency departments, raising cost and efficiency concerns.

Purpose of the Study:

  • To compare the clinical outcomes and cost-effectiveness of managing asymptomatic hypertension in primary care versus emergency departments.

Main Methods:

  • Retrospective analysis of patient data comparing outcomes.
  • Cost-effectiveness analysis based on treatment setting.

Main Results:

  • Similar clinical outcomes were observed between primary care and emergency department management.
  • Primary care management demonstrated greater cost-effectiveness.

Conclusions:

  • Primary care settings are suitable for managing asymptomatic hypertension.
  • Shifting management from emergency departments to primary care can improve healthcare efficiency and reduce costs.

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