{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:02:51Z","timestamp":1787695371921,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"21","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,11,4]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Data on prevalence and risk factors for markedly elevated blood pressure (MEBP) (\u2265180\/120\u2009mm\u2009Hg) in community emergency departments (EDs) in the United States are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      We conducted an analytical cross\u2010sectional study to estimate MEBP prevalence and determinants at a community teaching hospital emergency department in the Midwest. Adults (\u226518\u2009years) presenting between January 1 and December 31, 2024 were included. Descriptive statistics summarized the data. Chi\u2010square tests and logistic regression assessed associations. Variables with\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.25 in bivariable analyses were entered into the multivariable model. Analyses were performed in Stata 18.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">Of 41\u2009676 individuals screened; 40\u2009135 were included. MEBP prevalence was 6.93% (95% CI, 6.69\u20137.20; 2783\/40135). Compared with patients without MEBP, those with MEBP were older (69.3 [17.5] versus 61.0 [21.1] years), more often insured (96.0% versus 94.2%) and with a primary care provider (84.8% versus 80.0%) but less likely to have had health care contact in the prior 3\u2009months (21.4% versus 26.1%). They reported lower marijuana use (10.5% versus 13.7%) and had more comorbidities. In adjusted analyses, recent health care contact was associated with lower odds of MEBP (adjusted odds ratio [aOR], 0.66 [95% CI, 0.60\u20130.72]), whereas older age (aOR per additional year, 1.02 [95% CI, 1.02\u20131.02]), multimorbidity (aOR per additional comorbidity, 1.32 [95% CI, 1.20\u20131.45]), and Black race (aOR, 1.40 [95% CI, 1.24\u20131.58]) were associated with higher odds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">MEBP is common in community emergency departments and is more frequent among older adults, Black patients, and those with multimorbidity, but less common among those with recent health care contact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.043879","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:17:36Z","timestamp":1762175856000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["High Burden of Markedly Elevated Blood Pressure Among Adults Presenting to a Community Emergency Department: An Analytical Cross\u2010Sectional Study at a Teaching Hospital in Missouri, USA"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3841-2951","authenticated-orcid":false,"given":"Admire","family":"Hlupeni","sequence":"first","affiliation":[{"name":"St Luke\u2019s Hospital","place":["Chesterfield, USA"]},{"name":"Midlands State University","place":["Gweru, Zimbabwe"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Reiss","sequence":"additional","affiliation":[{"name":"St Luke\u2019s Hospital","place":["Chesterfield, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000596"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","unstructured":"Janke AT McNaughton CD Brody AM Welch RD Levy PD. Trends in the incidence of hypertensive emergencies in US emergency departments from 2006 to 2013. 2016;5:e004511. doi: 10.1161\/JAHA.116.004511","DOI":"10.1161\/JAHA.116.004511"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000002372"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpad078"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000436752.99896.22"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1113\/EP089686"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.122.20969"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.118.12396"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000238"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac395"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1901117"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.06.017"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000534"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.119.14492"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.122.20219"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.124.20533"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0294898"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000396"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000000990"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/S11906-021-01160-7"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07375-3"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.14750"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.6549"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000232"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.125.043879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T11:21:29Z","timestamp":1780485689000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.125.043879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,4]]},"references-count":24,"journal-issue":{"issue":"21","published-print":{"date-parts":[[2025,11,4]]}},"alternative-id":["10.1161\/JAHA.125.043879"],"URL":"https:\/\/doi.org\/10.1161\/jaha.125.043879","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,4]]},"assertion":[{"value":"2025-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e043879"}}