Practice-Pattern Variation in Neurocritical Care Blood Pressure Control Reveals Opportunities for Improved Long-Term Hypertension Control
Published on: May 26, 2025
An association between hypertension at neurosciences intensive care unit (NeuroICU) transfer and uncontrolled hypertension at discharge persisted for 2 years, according to new research. The retrospective study included adults who were admitted to a NeuroICU from April 2016-December 2022, transferred to a neurology general care unit, and then discharged to home or rehabilitation. Of the 10,836 individuals who met the inclusion criteria, 3,075 had hypertension (defined as systolic blood pressure (SBP) ≥140 mm Hg or diastolic BP (DBP) ≥90 mm Hg) at discharge. For every 10 mm Hg rise in SBP during NeuroICU transfer, the odds of being hypertensive at discharge increased by 1.60-fold. Hypertension at transfer was independently associated with hypertension at discharge in multivariate analysis — and that association continued for 2 years following discharge, independent of hypertension history, medical history, medical institution, or treatment intensity. Further research is needed, but the study authors note that “the initial hospitalization represents an opportunity to achieve and maintain guideline-directed BP targets to reduce secondary cerebrovascular events, dementia, and cardiovascular complications.”