PP.LB02.17

Abstract

Objective: Episodes of hypertension (HT) are one of the most common medical complications during hospitalization. Objectives: To analyze the prevalence of hypertension episodes in patients admitted in the areas of Orthopedic surgery and Trauma (OST) and Vascular Surgery (VS). Design and method: Descriptive analysis of patients in OST and VS areas who showed blood pressure higher than 140/90 during admission. Two groups, patients with and without history of hypertension are analyzed. Results: From June 2008 to December 2014 OST and VS asked 1659 interconsultations to Internal Medicine, Nephrology and Cardiology. 1098 (66.18%) had a history of hypertension. The complaint was hypertension in 72 patients (4.34%), and control of vascular risk factors (including Hypertension) in patients with hypertension, in 27 (1.63%). After the initial evaluation of all patients, blood pressure values above 140/90 were detected in 201 (12.11%), of which 187 were pre-hypertensive (11.27%). Among non-hypertensive known (561) had high blood pressure Figures 14 (2.49%). In 5 cases poor control of blood pressure was the pathology responsible for the prolongation of hospital stay. Conclusions: There is a significant rate of blood pressure decompensation, approximately 1/8 patients (12.1%) in patients admitted to OST and VS units. 1/6 decompensation known hypertensives (17%), compared to only 2.49% of non-hypertensive. Early assessment of the levels of blood pressure by Cardiology, Nephrology and Internal Medicine may be beneficial in terms of morbidity.