OBJECTIVES: To determine emergency physician's adherence to American College of Emergency Physicians policy recommendations in the assessment of @entity1 with asymptomatic elevated blood pressure (BP) in the @entity341 ( @entity341 ). METHODS: Retrospective study at a level 1 academic @entity341 . @entity4479 @entity1 with an initial systolic BP of at least 140   mmHg and/or diastolic BP of at least 90   mmHg, who were subsequently discharged from the @entity341 were included. @entity1 were excluded if they had @entity662 , @entity16 , or were pregnant. RESULTS: A total of 179 (female-102, male-77) @entity1 met eligibility criteria with a mean age of 44 years  17.9 (SD). BP remained elevated in 71% (117/164) of the subjects that received repeat measurements at the time of discharge. Seventeen percent (28/164) had severe BP elevation (systolic BP>= 160 or diastolic BP>= 100) at the time of discharge. No association was found between @entity158 scores and BP readings in triage (P=0.35). Complete end organ damage evaluation was performed in 3% (5/179). Only 6% (11/179) of @entity1 were informed of elevated BP in the @entity341 . Specific BP-related discharge instructions were given to only 5% (10/179) of @entity1 . Follow-up with a primary care physician for re-evaluation of elevated BP was recommended in 6% (11/179). CONCLUSION: A vast majority of @entity341 @entity1 with persistently elevated BP did not receive BP counseling and referral for further evaluation of elevated BP, suggesting lack of adherence to American College of Emergency Physicians policy recommendations in the assessment of @entity341 @entity1 with asymptomatic elevated BP.

Elevated blood pressure in the XXXX : lack of adherence to clinical practice guidelines.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity4479 :: ('MESH:C538052', 'Disease') :: ['Adult nontrauma'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity16 :: ('MESH:D009422', 'Disease') :: ['shortness of breath, neurologic symptoms'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity341 :: (MESH:D004630,Disease) :: ['emergency department']
