{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:50:09Z","timestamp":1724892609176},"reference-count":13,"publisher":"American Society of Consultant Pharmacists","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["sr care pharm"],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:p><jats:bold>Objective<\/jats:bold> To describe the use of clonidine in hospitalized older people for acute management of hypertension.  <jats:bold>Methods<\/jats:bold> This was an observational retrospective cross-sectional chart review study. Older people hospitalized between November 2017 and November\n 2018, with a one-time or as-needed clonidine order were eligible, and a random sample of these patients were included. Hospitalized patients could be admitted for hypertensive urgency or emergency, or for other reasons.  <jats:bold>Results<\/jats:bold> During the 12-month study period, 546 charts\n were identified as having at least one clonidine prescription, 248 were screened and 205 were included. The mean age was 75 years of age \u00b1 8 years of age and men made up 53% (n = 109) of the group. One hundred fifty-one patients (74%) received at least one dose of clonidine and the\n remaining patients has a clonidine prescription but did not reach the blood pressure threshold for clonidine administration. The mean number of doses per patient was 1.8 \u00b1 2.0. Twenty-nine percent of clonidine doses were given when systolic and diastolic blood pressure was below 180\n mmHg and 120 mmHg respectively. A total of 25 patients (17%) had a potential adverse reaction following clonidine administration. One patient had a stroke and two patients fell. Sixty-eight patients had evidence of target organ dysfunction related to hypertension prior to clonidine administration.\n  <jats:bold>Conclusions<\/jats:bold> Clonidine remains widely prescribed in hospitalized older people. It is possibly due to its rapid onset and little need for dosing adjustment. Clinical interventions should be designed and implanted to reduce its prescription.<\/jats:p>","DOI":"10.4140\/tcp.n.2022.157","type":"journal-article","created":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T04:34:51Z","timestamp":1648269291000},"page":"157-162","source":"Crossref","is-referenced-by-count":2,"title":["Safety And Efficacy of Clonidine for Acute Hypertensive Urgency in an Older and Hospitalized Population"],"prefix":"10.4140","volume":"37","author":[{"given":"Patrick","family":"Viet-Quoc Nguyen","sequence":"first","affiliation":[{"name":"1Montreal University Hospital Centers, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camille","family":"Le Berre","sequence":"additional","affiliation":[{"name":"1Montreal University Hospital Centers, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Fillion","sequence":"additional","affiliation":[{"name":"1Montreal University Hospital Centers, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martine","family":"Lafleur","sequence":"additional","affiliation":[{"name":"1Montreal University Hospital Centers, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2625","reference":[{"issue":"6","key":"ref1","first-page":"e13","article-title":"ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association Task Force on clinical practice guidelines.","volume":"71","year":"2017","journal-title":"Hypertension."},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1161\/01.HYP.0000107251.49515.c2","article-title":"Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.","volume":"42","year":"2003","journal-title":"Hypertension."},{"issue":"5","key":"ref3","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.cjca.2018.02.022","article-title":"Hypertension Canada\u2019s 2018 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults and Children.","volume":"34","journal-title":"Can J Cardiol."},{"issue":"7","key":"ref4","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1001\/jamainternmed.2016.1509","article-title":"Characteristics and outcomes of patients presenting with hypertensive urgency in the office setting.","volume":"176","year":"2016","journal-title":"JAMA Intern Med."},{"issue":"3","key":"ref5","first-page":"122","volume":"36","year":"2019","journal-title":"Vascular."},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1111\/j.1524-6175.2005.04898.x","article-title":"Characteristics and management of patients presenting to the emergency department with hypertensive urgency.","volume":"8","year":"2006","journal-title":"J Clin Hypertens"},{"issue":"6","key":"ref7","first-page":"62","article-title":"Hypertensive crisis.","volume":"63","year":"2000","journal-title":"RN."},{"issue":"4","key":"ref8","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1111\/jgs.15767","volume":"67","journal-title":"J Am Geriatr Soc."},{"issue":"2","key":"ref9","first-page":"213","article-title":"STOPP\/START criteria for potentially inappropriate prescribing in older people: version 2.","volume":"44","year":"2015","journal-title":"Age Ageing."},{"key":"ref10","article-title":"Sampling in Grounded Theory.","year":"2007","journal-title":"The SAGE Handbook of Grounded Theory."},{"issue":"7","key":"ref11","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1097\/HJH.0000000000001340","article-title":"Comparing the clinical efficacy of resting and antihypertensive medication in patients of hypertensive urgency: a randomized, control trial.","volume":"35","year":"2017","journal-title":"J Hypertens."},{"issue":"8","key":"ref12","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1111\/jch.12145","article-title":"The relationship between blood pressure and pain.","volume":"15","year":"2013","journal-title":"J Clin Hypertens"},{"issue":"4","key":"ref13","doi-asserted-by":"crossref","first-page":"eAO4685","DOI":"10.31744\/einstein_journal\/2019AO4685","article-title":"Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department.","volume":"17","year":"2019","journal-title":"Einstein"}],"container-title":["The Senior Care Pharmacist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/ascp\/tscp\/2022\/00000037\/00000004\/art00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T04:30:57Z","timestamp":1651033857000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.4140\/TCP.n.2022.157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4,1]]}},"alternative-id":["2639-9636(20220401)37:4L.157;1-"],"URL":"https:\/\/doi.org\/10.4140\/tcp.n.2022.157","relation":{},"ISSN":["2639-9636"],"issn-type":[{"value":"2639-9636","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4,1]]}}}