{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:58:05Z","timestamp":1789466285693,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"vor","delay-in-days":119,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Hypertension"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n                    <jats:italic>Background<\/jats:italic>\n                    . Over 1 billion people worldwide suffer from the common chronic medical condition of hypertension. A hypertensive crisis occurs when blood pressure exceeds 180\/110\u2009mmHg. Depending on whether the target organ is harmed, the situation may be presented as a hypertensive emergency or urgency.\n                    <jats:italic>Objective<\/jats:italic>\n                    . To assess the prevalence and risk factors of patients with hypertensive crises who visited the Emergency Outpatient Department (EOPD) at Adama Hospital Medical College in Adama, Oromia, Ethiopia, between January 01 and August 31, 2021, G.C.\n                    <jats:italic>Methodology<\/jats:italic>\n                    . A cross\u2010sectional, prospective study on the hypertensive crisis was conducted at Adama Hospital Medical College from January 01 to August 31, 2021, G.C. The data were collected using a standardized questionnaire, validated for completeness, and analyzed using SPSS. The findings were tabulated, and conclusions and recommendations were conveyed.\n                    <jats:italic>Result<\/jats:italic>\n                    . Out of 9,082 patients who visited the EOPD during the six\u2010month period, 444 individuals with hypertensive crises were identified, representing a prevalence of 4.9%. Of these, 56.8% were men, resulting in a\n                    <jats:italic>M<\/jats:italic>\n                    \u2009:\u2009\n                    <jats:italic>F<\/jats:italic>\n                    ratio of 1.31\u2009:\u20091. Those between the ages of 66 and 75 were the most affected. At presentation, 91.0% of the study participants were known hypertensive patients. Among the known hypertensive patients, the majority (34.9%) were known to have been hypertensive for 5\u201310\u2009years. Of the known hypertensive patients, 48.6% were found to be adherent. Hypertensive urgency was discovered to be far more common than hypertensive emergencies (63.5% vs. 36.5%). Headache was the most common presenting symptom, and most patients (36.5%) presented to the health setup in less than 24\u2009hours. The main risk variables identified were drug discontinuation, family history of hypertension, salt consumption, and alcohol usage. The main excuse for the lack of adherence was the cost of the medications. More than half of the patients do not have any additional comorbidities, and of those who do, diabetes mellitus is the most prevalent. A stroke was identified as a major complication.\n                    <jats:italic>Conclusions and Recommendations<\/jats:italic>\n                    . Hypertensive crises are one of the most prevalent reasons for EOPD admission and are linked to significant consequences. At presentation, most of the study subjects were known hypertension patients. Diabetes mellitus was discovered to be a comorbid condition in one\u2010quarter of them. Although more than half of the patients had improved, the death rate still remained high. Infrastructure and capacity building to provide hospitals with the requisite baseline investigations are among the government\u2019s recommendations. Health practitioners are expected to make improvements, such as by educating the public about the need for lifestyle changes and evaluating and managing any hypertension problems.\n                  <\/jats:p>","DOI":"10.1155\/2024\/6893267","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T16:50:07Z","timestamp":1714409407000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["An Assessment of the Prevalence and Risk Factors of Hypertensive Crisis in Patients Who Visited the Emergency Outpatient Department (EOPD) at Adama Hospital Medical College, Adama, Oromia, Ethiopia: A 6\u2010Month Prospective Study"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6471-4858","authenticated-orcid":false,"given":"Abel Tezera","family":"Abebe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6032-4061","authenticated-orcid":false,"given":"Yabets Tesfaye","family":"Kebede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7784-913X","authenticated-orcid":false,"given":"Bekri Delil","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"key":"e_1_2_14_1_2","article-title":"Prevalence and factors associated with cardiovascular emergencies in the emergency department of niamey national hospital","volume":"23","author":"Kabore J.","year":"2022","journal-title":"Health Sciences and Disease"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjh.0000539222.88275.68"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2009.07.020"},{"key":"e_1_2_14_5_2","unstructured":"World Health Organization A Global Brief on Hypertension: Silent Killer Global Public Health Crisis: World Health Day 2013 WHO Geneva Switzerland."},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(05)70151\u20103"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/hjh.0b013e3283282f65"},{"key":"e_1_2_14_8_2","volume-title":"Harrison\u2019s Principles of Internal Medicine","author":"Kotchen T. 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