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[Management of hypertension in hospitalized patients]

Maryline Studer1, Olivier Heimer1, Omar Kherad1

  • 1Service de médecine interne, Hôpital de La Tour, 1217 Meyrin/Genève.

Revue Medicale Suisse
|October 13, 2021
PubMed

Insights

Hospitalized patients require different high blood pressure management than outpatients. Applying outpatient targets may harm patients and increase readmissions.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Clinical Practice Guidelines

Background:

  • International guidelines for hypertension are updated regularly for outpatient monitoring.
  • There is no consensus on the definition and management of high blood pressure in hospitalized patients.
  • Current evidence suggests outpatient treatment targets may not be suitable for inpatients.

Purpose of the Study:

  • To highlight the lack of consensus in defining and managing hypertension in hospitalized patients.
  • To discuss the potential risks of extrapolating outpatient blood pressure targets to the inpatient setting.

Main Methods:

  • Literature review of recent evidence on inpatient hypertension management.
  • Analysis of the implications of applying outpatient treatment targets to hospitalized individuals.

Main Results:

  • Extrapolation of outpatient hypertension treatment targets to hospitalized patients may be unnecessary.
  • Inappropriate application of outpatient targets can increase adverse events and avoidable readmissions.

Conclusions:

  • Hospitalized patients require distinct approaches to hypertension management.
  • Further research and consensus are needed for inpatient blood pressure targets to ensure patient safety and reduce readmissions.

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