Reduction in emergency department visits and readmissions with postpartum hypertension management protocol

Clinical Question

Is the implementation of a standardized postpartum hypertension management protocol associated with a reduction in emergency department visits and readmissions?

Bottom line

Implementation of practice guidelines for patients with postpartum hypertension (chronic and hypertensive disorders of pregnancy) to improve BP control from delivery until 6 weeks postpartum was associated with a significant decrease in ED visits and readmissions related to hypertension. Keys to the intervention were remote BP monitoring and medication titration accordingly. 2b

Study design: Cohort (prospective)

Funding: Unknown/not stated

Setting: Inpatient (any location) with outpatient follow-up

Reviewer

Linda Speer, MD
Professor and Chair, Department of Family Medicine
University of Toledo
Toledo, OH


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Comments

ARUP KUMAR DHARA

Impact assessment

Excellent

Bertus Johannes Reitsma

results

almost 10% advert events ( hypotension ) is not worth this strict protocol !
what is more important : the patient or a protocol ?
the target should be patient results and not administration advantage = reduction of ED visits !

Anonymous

POSTPARTUM HYPERTENSION AND EMERGENCYREDUCTION

GOOD TO KNOW