Annals of emergency medicine
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Comparative Study
Emergency department hypertension and regression to the mean.
To evaluate the importance of regression to the mean in the assessment of asymptomatic hypertension in the emergency department. ⋯ Patients who present with asymptomatic hypertension in the ED on average experience a spontaneous decline in blood pressure after they arrive. Most of this effect can be explained by regression to the mean. A small amount of this drop may represent attenuation of an initial alerting reaction.
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The five articles presented in this section were written by representatives of the emergency medicine research community during the "Future of Emergency Medicine Research Conference," March 6 and 7, 1997, in Washington DC. Each presentation was balanced with commentary by two conference participants from outside emergency medicine. The discussion of each presentation was opened to scrutiny and analysis by all the conference participants. ⋯ It is now the responsibility of each individual emergency physician to carefully consider his or her own role and commitment in the process of advancing emergency medicine research. Our collective will as academic departments and the organized emergency medicine community must reaffirm our belief in the importance of emergency medicine research. Individually and collectively, we will need to dedicate the necessary resources to implement the strategies suggested for enhancing emergency medicine research training extramural funding, national organization support, multicenter research, and new research outcomes.
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[Mellick LB: Animal ER: A lesson in patient-focused care. Ann Emerg Med February 1998;31:281-283.].