Emergency Department Interventions to Improve Blood Pressure Follow-up

NCT ID: NCT00798551

Last Updated: 2023-09-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 10 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-04-16
• Study Completion Date: 2010-12-20

Brief Summary

Hypertension affects approximately 65 million people in the United States and approximately 20 million individuals remain undiagnosed. In Emergency Room visits, many as one third of the patients were noted to have elevated BP readings, two thirds of which could benefit from further therapy or closer clinic follow-up. However primary care follow-up after discharge with an elevated BP is surprisingly low. The purpose of this study is to measure the follow-up rate after the Emergency Room visit in individuals identified with elevated blood pressure after a brief counseling regarding risks of elevated blood pressure.

Detailed Description

Hypertension is a very common disease, affecting approximately 65 million people in the United States. As many as 30 % of people with hypertension, approximately 20 million individuals, remain undiagnosed. As many as one third of patients seen in ED were noted to have elevated BP readings in prior studies. Approximately 5% of emergency department (ED) patients have severely elevated blood pressure. Prior studies suggest that as many as two thirds of ED patients with elevated BP can benefit from further therapy or closer clinic follow-up. However primary care follow-up after ED discharge with an elevated BP is surprisingly low. The purpose of this study is to measure the follow-up rate after the ED visit in individuals identified with elevated blood pressure after a brief counseling regarding risks of elevated blood pressure.

Conditions

Hypertension

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Risk counseling

Risk counseling regarding elevated blood pressure

Group Type: OTHER

Risk counseling

Intervention Type: BEHAVIORAL

cardiovascular risk counseling regarding elevated blood pressure

Interventions

Risk counseling

cardiovascular risk counseling regarding elevated blood pressure

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 19 years of age or older
• diastolic BP 90 mm Hg or systolic BP 140 mm Hg
• diabetes and chronic kidney disease who have a diastolic BP 80 mm Hg or systolic BP 130 mm Hg

Exclusion Criteria

• unable/unwilling to provide informed consent
• acute anxiety state
• Any subject on pain medication which compromises their ability to consent

• Minimum Eligible Age: 19 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Nebraska

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Srikar R Adhikari, MD

Role: PRINCIPAL_INVESTIGATOR

University of Nebraska

Locations

University of Nebraska Medical Center

Omaha, Nebraska, United States

Countries

United States

References

Backer HD, Decker L, Ackerson L. Reproducibility of increased blood pressure during an emergency department or urgent care visit. Ann Emerg Med. 2003 Apr;41(4):507-12. doi: 10.1067/mem.2003.151.

Reference Type: RESULT

PMID: 12658251 (View on PubMed)

Karras DJ, Ufberg JW, Heilpern KL, Cienki JJ, Chiang WK, Wald MM, Harrigan RA, Wald DA, Shayne P, Gaughan J, Kruus LK. Elevated blood pressure in urban emergency department patients. Acad Emerg Med. 2005 Sep;12(9):835-43. doi: 10.1197/j.aem.2005.04.015.

Reference Type: RESULT

PMID: 16141017 (View on PubMed)

Preston RA, Baltodano NM, Cienki J, Materson BJ. Clinical presentation and management of patients with uncontrolled, severe hypertension: results from a public teaching hospital. J Hum Hypertens. 1999 Apr;13(4):249-55. doi: 10.1038/sj.jhh.1000796.

Reference Type: RESULT

PMID: 10333343 (View on PubMed)

Other Identifiers

0519-07-EP

Identifier Type: -

Identifier Source: org_study_id