{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T17:48:15Z","timestamp":1788371295174,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,5,30]],"date-time":"2017-05-30T00:00:00Z","timestamp":1496102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>Prehospital hypertensive emergencies and urgencies are common, but evidence is lacking. Telemedically supported <jats:styled-content style=\"fixed-case\">hypertensive emergencies<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">urgencies<\/jats:styled-content> were prospectively collected (April 2014\u2013March 2015) and compared retrospectively with a historical control group of on\u2010scene physician care in the emergency medical service of Aachen, Germany. Blood pressure management and guideline adherence were evaluated. Telemedical (n=159) vs conventional (n=172) cases: <jats:styled-content style=\"fixed-case\">blood pressure<\/jats:styled-content> reductions of 35\u00b124\u00a0mm\u00a0Hg vs 44\u00b123\u00a0mm\u00a0Hg revealed a group effect adjusted for baseline differences (<jats:italic>P<\/jats:italic>=.0006). <jats:styled-content style=\"fixed-case\">Blood pressure<\/jats:styled-content> management in categories: no reduction 6 vs 0 (<jats:italic>P<\/jats:italic>=.0121); reduction \u226425% (recommended range) 113 vs 110 patients (<jats:italic>P<\/jats:italic>=.2356); reduction &gt;25% to 30% 13 vs 29 (0.020); reduction &gt;30% 12 vs 16 patients (<jats:italic>P<\/jats:italic>=.5608). The telemedical approach led to less pronounced <jats:styled-content style=\"fixed-case\">blood pressure<\/jats:styled-content> reductions and a tendency to improved guideline adherence. Telemedically guided antihypertensive care may be an alternative to conventional care especially for potentially underserved areas.<\/jats:p>","DOI":"10.1111\/jch.13026","type":"journal-article","created":{"date-parts":[[2017,5,31]],"date-time":"2017-05-31T02:06:45Z","timestamp":1496196405000},"page":"704-712","source":"Crossref","is-referenced-by-count":37,"title":["Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out\u2010of\u2010hospital care"],"prefix":"10.1111","volume":"19","author":[{"given":"J\u00f6rg C.","family":"Brokmann","sequence":"first","affiliation":[{"name":"Emergency Department University Hospital RWTH Aachen  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolf","family":"Rossaint","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University Hospital RWTH Aachen  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University Hospital RWTH Aachen  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Fitzner","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics University Hospital RWTH Aachen  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Villa","sequence":"additional","affiliation":[{"name":"Emergency Department University Hospital RWTH Aachen  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan K.","family":"Beckers","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University Hospital RWTH Aachen  Aachen Germany"},{"name":"Emergency Medical Service Fire Department Aachen  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5297-7655","authenticated-orcid":false,"given":"Sebastian","family":"Bergrath","sequence":"additional","affiliation":[{"name":"Emergency Department University Hospital RWTH Aachen  Aachen Germany"},{"name":"Department of Anesthesiology University Hospital RWTH Aachen  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17741-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht151"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000207"},{"key":"e_1_2_8_5_1","first-page":"248","article-title":"Dutch guideline for the management of hypertensive crisis\u2013\u20132010 revision","volume":"69","author":"van den Born BJ","year":"2011","journal-title":"Neth J Med"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12237"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"e_1_2_8_8_1","unstructured":"American Heart Association.Hypertensive crisis 2016.https:\/\/www.heart.org\/HEARTORG\/Conditions\/HighBloodPressure\/AboutHighBloodPressure\/Hypertensive-Crisis_UCM_301782_Article.jsp. 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