FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2754712612> ?p ?o ?g. }

• W2754712612 endingPage "S108" @default.
• W2754712612 startingPage "S108" @default.
• W2754712612 abstract "Spontaneous intracranial hemorrhage (sICH) often presents with markedly elevated blood pressure. Systolic blood pressure (SBP) above 140 to 150 mmHg has been found to be associated with higher morbidity and mortality. The 2010 American Heart Association and American Stroke Association (AHA/ASA) guideline recommends reduction of SBP among these patients to less than 160 mmHg if presenting SBP≥160mm Hg. However, a retrospective study in 2013 of 78 patients with non-traumatic subarachnoid hemorrhage showed that emergency providers treated only 71% of patients with SBP ≥160mmHg. Therefore, we hypothesized that more than 50% of patients with hypertensive sICH will not have SBP<160 mmHg at ED departure. Our study objective was to assess the effectiveness of emergency providers’ blood pressure management among critically ill patients with sICH and suspected high intracranial pressure (ICP). We performed a retrospective study of adult patients with diagnosis of sICH transferred from referring EDs to a quaternary academic center between 01/01/2011 and 09/30/2015 and received external ventricular drains (EVD) during hospitalization. Patients were identified by International Classification of Disease, version 9 (ICD-9 codes of 430.XX, 431.XX) and procedure code 02.21. Patients were excluded if a) not transferred directly from an ED; b) ED triage SBP ≤160 mmHg; c) no ED records available. Primary outcome was percentage of patients with SBP≤160 mm Hg at ED departure; secondary outcome was ICP at time of EVD placement. Data was expressed in median and interquartile range [IQR]. Mann-Whitney U test was used to compare median values between groups. A total of 434 patients were electronically identified. One-hundred eighty-seven (187) patients, transferred from 40 unique referring EDs with triage SBP≥161 mm Hg and received EVD during hospitalization, were included in analysis. Median Glasgow Coma Scale (GCS) at ED presentation was 13 [7-15]. Median SBPs at ED triage and departure were 199 [IQR 175-221] and 163 [IQR 138-176], p<0.001, respectively. One-hundred one (54%) patients had transfer SBP (tSBP) ≥161 mmHg, while 86 (46%) patients had tSBP ≤160mmHg. Median time from triage to SBP <160 was 142 [70-236] minutes while median time from triage to EVD placement at academic referral hospital was 426 [320-678] minutes. Intracranial pressure for patients with tSBP≥161mmHg, comparing to patients with tSBP≤160 mm Hg respectively, was 20[15-25] vs 24 [15-30] mm Hg, p=0.437. Emergency providers’ management of hypertensive patients with sICH and suspected intracranial hypertension was inadequate with only 46% of patients’ SBP at time of transfer meeting recommended treatment guidelines. Further education opportunities exist to encourage emergency providers to treat critically ill patients with spontaneous intracranial hemorrhage more effectively." @default.
• W2754712612 created "2017-09-25" @default.
• W2754712612 creator A5001506513 @default.
• W2754712612 creator A5020925457 @default.
• W2754712612 creator A5021400335 @default.
• W2754712612 creator A5029909420 @default.
• W2754712612 creator A5030063387 @default.
• W2754712612 creator A5032202156 @default.
• W2754712612 creator A5038970433 @default.
• W2754712612 creator A5039500415 @default.
• W2754712612 creator A5045845331 @default.
• W2754712612 creator A5046257285 @default.
• W2754712612 date "2017-10-01" @default.
• W2754712612 modified "2023-09-27" @default.
• W2754712612 title "273 Emergency Providers Did Not Adequately Manage Patients With Spontaneous Intracranial Hemorrhage and Suspected Intracranial Hypertension" @default.
• W2754712612 doi "https://doi.org/10.1016/j.annemergmed.2017.07.251" @default.
• W2754712612 hasPublicationYear "2017" @default.
• W2754712612 type Work @default.
• W2754712612 sameAs 2754712612 @default.
• W2754712612 citedByCount "2" @default.
• W2754712612 countsByYear W27547126122021 @default.
• W2754712612 crossrefType "journal-article" @default.
• W2754712612 hasAuthorship W2754712612A5001506513 @default.
• W2754712612 hasAuthorship W2754712612A5020925457 @default.
• W2754712612 hasAuthorship W2754712612A5021400335 @default.
• W2754712612 hasAuthorship W2754712612A5029909420 @default.
• W2754712612 hasAuthorship W2754712612A5030063387 @default.
• W2754712612 hasAuthorship W2754712612A5032202156 @default.
• W2754712612 hasAuthorship W2754712612A5038970433 @default.
• W2754712612 hasAuthorship W2754712612A5039500415 @default.
• W2754712612 hasAuthorship W2754712612A5045845331 @default.
• W2754712612 hasAuthorship W2754712612A5046257285 @default.
• W2754712612 hasBestOaLocation W27547126121 @default.
• W2754712612 hasConcept C118552586 @default.
• W2754712612 hasConcept C119060515 @default.
• W2754712612 hasConcept C126322002 @default.
• W2754712612 hasConcept C127413603 @default.
• W2754712612 hasConcept C142724271 @default.
• W2754712612 hasConcept C167135981 @default.
• W2754712612 hasConcept C194828623 @default.
• W2754712612 hasConcept C2777120189 @default.
• W2754712612 hasConcept C2777736543 @default.
• W2754712612 hasConcept C2778863898 @default.
• W2754712612 hasConcept C2779651940 @default.
• W2754712612 hasConcept C2780182762 @default.
• W2754712612 hasConcept C2780645631 @default.
• W2754712612 hasConcept C2780724011 @default.
• W2754712612 hasConcept C71924100 @default.
• W2754712612 hasConcept C78519656 @default.
• W2754712612 hasConcept C84393581 @default.
• W2754712612 hasConceptScore W2754712612C118552586 @default.
• W2754712612 hasConceptScore W2754712612C119060515 @default.
• W2754712612 hasConceptScore W2754712612C126322002 @default.
• W2754712612 hasConceptScore W2754712612C127413603 @default.
• W2754712612 hasConceptScore W2754712612C142724271 @default.
• W2754712612 hasConceptScore W2754712612C167135981 @default.
• W2754712612 hasConceptScore W2754712612C194828623 @default.
• W2754712612 hasConceptScore W2754712612C2777120189 @default.
• W2754712612 hasConceptScore W2754712612C2777736543 @default.
• W2754712612 hasConceptScore W2754712612C2778863898 @default.
• W2754712612 hasConceptScore W2754712612C2779651940 @default.
• W2754712612 hasConceptScore W2754712612C2780182762 @default.
• W2754712612 hasConceptScore W2754712612C2780645631 @default.
• W2754712612 hasConceptScore W2754712612C2780724011 @default.
• W2754712612 hasConceptScore W2754712612C71924100 @default.
• W2754712612 hasConceptScore W2754712612C78519656 @default.
• W2754712612 hasConceptScore W2754712612C84393581 @default.
• W2754712612 hasIssue "4" @default.
• W2754712612 hasLocation W27547126121 @default.
• W2754712612 hasOpenAccess W2754712612 @default.
• W2754712612 hasPrimaryLocation W27547126121 @default.
• W2754712612 hasRelatedWork W1995608474 @default.
• W2754712612 hasRelatedWork W2085558933 @default.
• W2754712612 hasRelatedWork W2119673352 @default.
• W2754712612 hasRelatedWork W2521798826 @default.
• W2754712612 hasRelatedWork W2800779112 @default.
• W2754712612 hasRelatedWork W2907970638 @default.
• W2754712612 hasRelatedWork W3039657474 @default.
• W2754712612 hasRelatedWork W3130251731 @default.
• W2754712612 hasRelatedWork W4210361590 @default.
• W2754712612 hasRelatedWork W4312043176 @default.
• W2754712612 hasVolume "70" @default.
• W2754712612 isParatext "false" @default.
• W2754712612 isRetracted "false" @default.
• W2754712612 magId "2754712612" @default.
• W2754712612 workType "article" @default.