title: [Prevalence and severity of hypertensive emergencies and outbreaks in the hospital emergency department of CHU Timone at Marseille: Follow-up in three months of hospitalized patients].
abstract: OBJECTIVE
  Evaluation of the prevalence and severity of hypertensive emergencies and crisis in an Emergency Service of Timone hospital in Marseille and follow-up of 3 months of hospitalized emergencies.
  
  
  METHODS
  This study was conducted in the Emergency Department between April 1 and June 30, 2015. All patients with BP>180 and/or 110mmHg was recorded and classified in true emergencies (presence of visceral pain) and hypertensive isolated crisis. A phone follow-up patients was organized.
  
  
  RESULTS
  During this period, 170 patients were identified: 95 (56%) hypertensive crisis and 75 (44%) hypertensive emergencies: 25 OAP (33%), 18 ischemic stroke (24%), 15 hemorrhagic stroke (20%), 9 angina (12%) and 8 different. The clinical characteristics of hypertensive emergencies are preferentially dyspnea (27%) motor deficit (36%), and chest pain (16%). The BP of hypertensive emergencies at their admission (3 measurements, oscillometric automatic device) is close to the hypertensive crisis (198.17±19.3 to 96.4±21.2mmHg versus 191±31.6 to 96.12±21). The BP controlled after 15minutes of rest is lower for crisis compared to real emergencies (152±47 to 79±28 vs. 174±31 to 86±26). Age emergency is larger (77±14 vs. 67±17), the number of slightly larger drug (1.79 versus 1.67±1±1). Telephone follow-up was performed after an average period of three months. Ninety-nine patients were contacted by telephone: 46 patients who were admitted for hypertensive emergency patients and 53 for a push. Eighteen deaths have been recorded, including 15 among hypertensive emergencies (9 in hemorrhagic stroke, 5 for ischemic stroke, and 1 for OAP) with 5-hospital deaths within 48hours after admission and 10 within 3 months in patients hospitalized with hypertensive emergency or 33%. Seventy-seven patients out of 99 had been reviewed by their attending physicians. A questionnaire was sent by mail to patients who have not answered the phone contacts, and responses are pending.
  
  
  CONCLUSIONS
  Hypertensive emergencies hospitalized in Timone Hospital represent 44% of patients hospitalized for emergency HTA. Their gravity is 1/3 since most patients die within three months warranting closer management of these fragile patients by creating a specialized consulting postemergency.
authors.affiliation: Service de cardiologie, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France. Electronic address: hannibal317@hotmail.fr.
authors.forename: H
authors.initials: H
authors.lastname: Guiga
authors.affiliation: Service de cardiologie, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: G
authors.initials: G
authors.lastname: Sarlon-Bartoli
authors.affiliation: Service de cardiologie, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: F
authors.initials: F
authors.lastname: Silhol
authors.affiliation: Service de cardiologie, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: W
authors.initials: W
authors.lastname: Radix
authors.affiliation: Service des urgences, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: P
authors.initials: P
authors.lastname: Michelet
authors.affiliation: Service de cardiologie, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Vaïsse
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002637:Chest Pain / Q000453:epidemiology; D004196:Disease Outbreaks / Q000706:statistics & numerical data; D004417:Dyspnea / Q000453:epidemiology; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology*; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D000068079:Motor Disorders / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D020521:Stroke / Q000453:epidemiology
keywords: Hypertensive emergencies; Prevalence; Prognosis; Pronostic; Prévalence; Severity; Sévérité; Urgences hypertensives