{"id":"https://openalex.org/W7224908013","doi":"https://doi.org/10.6084/m9.figshare.34867959","title":"Prevalence of Persistent Severe Hypertension and Rates of Treatment Among Pregnant Patients in the Prehospital Setting","display_name":"Prevalence of Persistent Severe Hypertension and Rates of Treatment Among Pregnant Patients in the Prehospital Setting","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224908013","doi":"https://doi.org/10.6084/m9.figshare.34867959"},"language":"en","primary_location":{"id":"doi:10.6084/m9.figshare.34867959","doi":"https://doi.org/10.6084/m9.figshare.34867959","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34867959","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.6084/m9.figshare.34867959","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009329242","display_name":"Nicholas Maffetone","orcid":"https://orcid.org/0009-0003-3296-9721","observed_orcids":["https://orcid.org/0009-0003-3296-9721"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nicholas Maffetone","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160197944","display_name":"Caroline A. Livingston","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Caroline A. Livingston","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160200219","display_name":"Kevin M. Wilcox","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kevin M. Wilcox","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160195750","display_name":"Austin H. Wingate","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Austin H. Wingate","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039591493","display_name":"Lawrence H. Brown","orcid":"https://orcid.org/0000-0002-5940-1840","observed_orcids":["https://orcid.org/0000-0002-5940-1840"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lawrence H. Brown","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5084568358","display_name":"Douglas F. Kupas","orcid":"https://orcid.org/0000-0002-2183-4018","observed_orcids":["https://orcid.org/0000-0002-2183-4018"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Douglas F. Kupas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89510258,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10290","display_name":"Pregnancy and preeclampsia studies","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10290","display_name":"Pregnancy and preeclampsia studies","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12464","display_name":"Neurological Complications and Syndromes","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypertensive-disorders-of-pregnancy","display_name":"hypertensive disorders of pregnancy","score":0.9919999837875366},{"id":"https://openalex.org/keywords/prehospital-care","display_name":"prehospital care","score":0.9100000262260437},{"id":"https://openalex.org/keywords/emergency-medical-services","display_name":"emergency medical services","score":0.8759999871253967},{"id":"https://openalex.org/keywords/magnesium-sulfate","display_name":"magnesium sulfate","score":0.8560000061988831},{"id":"https://openalex.org/keywords/antihypertensive-drugs","display_name":"antihypertensive drugs","score":0.8970000147819519},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.6179999709129333},{"id":"https://openalex.org/keywords/prevalence","display_name":"prevalence","score":0.5609999895095825},{"id":"https://openalex.org/keywords/pregnant-patients","display_name":"pregnant patients","score":0.5220000147819519},{"id":"https://openalex.org/keywords/maternal-morbidity","display_name":"maternal morbidity","score":0.3880000114440918},{"id":"https://openalex.org/keywords/fetal-morbidity-and-mortality","display_name":"fetal morbidity and mortality","score":0.6499999761581421},{"id":"https://openalex.org/keywords/hydralazine","display_name":"hydralazine","score":0.5350000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9442999958992004},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.765999972820282},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5855000019073486},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5425999760627747},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5292999744415283},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.49570000171661377},{"id":"https://openalex.org/C2780719066","wikidata":"https://www.wikidata.org/wiki/Q5958696","display_name":"Hypertension in Pregnancy","level":4,"score":0.47029998898506165},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4413999915122986},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.43560001254081726},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.40149998664855957},{"id":"https://openalex.org/C2781276381","wikidata":"https://www.wikidata.org/wiki/Q552348","display_name":"Eclampsia","level":3,"score":0.38679999113082886},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.32359999418258667},{"id":"https://openalex.org/C2780350358","wikidata":"https://www.wikidata.org/wiki/Q5156656","display_name":"Complications of hypertension","level":3,"score":0.3188999891281128},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.3100000023841858},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.30820000171661377},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.2992999851703644},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.29350000619888306},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2759000062942505},{"id":"https://openalex.org/C2776385636","wikidata":"https://www.wikidata.org/wiki/Q1641132","display_name":"Hypertensive emergency","level":3,"score":0.2752000093460083},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.263700008392334},{"id":"https://openalex.org/C2777218350","wikidata":"https://www.wikidata.org/wiki/Q61335","display_name":"Preeclampsia","level":3,"score":0.2587999999523163},{"id":"https://openalex.org/C2780192228","wikidata":"https://www.wikidata.org/wiki/Q575890","display_name":"Antihypertensive drug","level":3,"score":0.2554999887943268},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.25429999828338623},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.25189998745918274}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.6084/m9.figshare.34867959","doi":"https://doi.org/10.6084/m9.figshare.34867959","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34867959","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.6084/m9.figshare.34867959.v1","doi":"https://doi.org/10.6084/m9.figshare.34867959.v1","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34867959.v1","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.6084/m9.figshare.34867959","doi":"https://doi.org/10.6084/m9.figshare.34867959","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34867959","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3203779999","https://openalex.org/W3163901290","https://openalex.org/W4387507554","https://openalex.org/W4399750008","https://openalex.org/W2625507370","https://openalex.org/W4416738931","https://openalex.org/W4256689159","https://openalex.org/W3156892173","https://openalex.org/W4389060687","https://openalex.org/W4414000569"],"abstract_inverted_index":{"Hypertensive":[0],"disorders":[1],"of":[2,23,34,42,52,60,68,82,92,134,192,219,223,271,287,331],"pregnancy":[3],"(HDP)":[4],"contribute":[5],"to":[6,64,89,114,151,285,318],"maternal":[7],"and":[8,11,13,25,38,85,140,197,248,258,292,305,315,329],"fetal":[9],"morbidity":[10],"mortality":[12],"require":[14],"time-sensitive":[15],"intervention.":[16],"In":[17,281],"April":[18],"2025,":[19],"the":[20,31,39,49,66,103,143,156,282,288],"American":[21],"College":[22],"Obstetricians":[24],"Gynecologists":[26],"(ACOG),":[27],"in":[28,56,264],"collaboration":[29],"with":[30,155,172,254,301],"National":[32,40],"Association":[33,41],"EMS":[35,123,211],"Physicians":[36],"(NAEMSP)":[37],"EMTs":[43],"(NAEMT),":[44],"published":[45],"new":[46,157],"guidelines":[47],"on":[48],"prehospital":[50,77,275,320],"management":[51],"elevated":[53],"blood":[54,169,174,181],"pressure":[55,170,175,182],"pregnancy.":[57],"The":[58,221],"objective":[59],"this":[61],"study":[62,101],"was":[63,227],"determine":[65],"prevalence":[67,222],"persistent":[69,161,224,278],"severe":[70,162,225,279],"hypertension":[71,163,226],"among":[72],"pregnant":[73,130,266],"patients":[74,127,141,215,267],"encountered":[75,273],"by":[76,274],"clinicians,":[78],"characterize":[79],"baseline":[80],"frequency":[81],"pre-guideline":[83],"treatment,":[84],"establish":[86,311],"a":[87,97,312],"benchmark":[88,314],"inform":[90],"implementation":[91,330],"these":[93,233],"guidelines.":[94,333],"We":[95,118,136,186,205],"conducted":[96],"retrospective":[98],"observational":[99],"cohort":[100],"using":[102],"2024":[104],"ESO":[105],"Data":[106],"Collaborative":[107],"public":[108],"release":[109],"research":[110],"dataset":[111],"(January":[112],"1":[113,263],"December":[115],"31,":[116],"2024).":[117],"identified":[119,206],"all":[120],"9-1-1":[121,209],"ground":[122,210],"scene":[124,212],"responses":[125,213],"for":[126,214],"documented":[128,168],"as":[129,164,190],"beyond":[131,216,268],"20":[132,217,269],"weeks":[133,218,270],"gestation.":[135,220],"excluded":[137],"injury-related":[138],"encounters":[139],"outside":[142],"World":[144],"Health":[145],"Organization-defined":[146],"childbearing":[147],"age":[148],"range":[149],"(15":[150],"49":[152],"years).":[153],"Consistent":[154],"guidelines,":[158,294],"we":[159],"defined":[160,187],"at":[165],"least":[166],"two":[167],"measurements":[171],"systolic":[173],"\u2265":[176,183],"160":[177],"mmHg":[178],"or":[179,203],"diastolic":[180],"110":[184],"mmHg.":[185],"guideline-adherent":[188,252,299],"treatment":[189,253,300],"administration":[191],"both":[193,255,302],"magnesium":[194,238,256,303],"sulfate":[195,239,257,304],"(MgSO4)":[196],"an":[198,244,259,306],"antihypertensive":[199,245,260,307],"medication":[200,246,325],"(labetalol,":[201],"hydralazine,":[202],"nifedipine).":[204],"39,546":[207],"eligible":[208],"3.1%":[228],"(n":[229],"=":[230],"1,234/39,546).":[231],"Among":[232],"patients,":[234],"77":[235],"(6.2%)":[236],"received":[237,243,251,298],"only,":[240,247],"19":[241],"(1.5%)":[242],"10":[249],"(0.8%)":[250],"medication.":[261,308],"Approximately":[262],"32":[265],"gestation":[272],"clinicians":[276],"had":[277],"hypertension.":[280],"year":[283],"prior":[284],"dissemination":[286],"2025":[289],"ACOG,":[290],"NAEMSP,":[291],"NAEMT-supported":[293],"fewer":[295],"than":[296],"1%":[297],"These":[309],"findings":[310],"national":[313],"identify":[316],"opportunities":[317],"improve":[319],"care":[321],"through":[322],"protocol":[323],"development,":[324],"availability,":[326],"clinician":[327],"education,":[328],"updated":[332]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-31T00:00:00"}
