An audit for the inpatient management of patients with severe hypertension without acute end-organ damage at the Northern Sydney Local Health District

Peter Kolovos; Dominic A Esterman; Grace Lynch; Katheryn Pearson; Upeka Nanayakkara; Amanda Mather

doi:10.1111/imj.16452

An audit for the inpatient management of patients with severe hypertension without acute end-organ damage at the Northern Sydney Local Health District

Intern Med J. 2024 Aug;54(8):1401-1404. doi: 10.1111/imj.16452. Epub 2024 Jul 16.

Authors

Peter Kolovos¹, Dominic A Esterman², Grace Lynch², Katheryn Pearson², Upeka Nanayakkara², Amanda Mather²

Affiliations

¹ Nepean Hospital, Sydney, New South Wales, Australia.
² Royal North Shore Hospital, Sydney, New South Wales, Australia.

PMID: 39011871
DOI: 10.1111/imj.16452

Abstract

Severe hypertension without acute end-organ damage is commonly encountered in inpatients. Despite this, there is a lack of international guidelines to manage this disorder. We conducted an audit to investigate the local practices within our health district. Current practices favour the use of rapidly acting antihypertensive drugs, which have been associated with iatrogenic injury.

Keywords: hypertension; management of severe hypertension; severe hypertension.

MeSH terms

Aged
Antihypertensive Agents* / therapeutic use
Australia
Disease Management
Female
Hospitalization
Humans
Hypertension* / drug therapy
Hypertension* / epidemiology
Hypertension* / therapy
Inpatients*
Male
Medical Audit*
Middle Aged
New South Wales / epidemiology
Severity of Illness Index

Substances

Antihypertensive Agents