Emergency Department Interventions to Improve Blood Pressure Follow-up

NCT00798551 | Completed

• 1 other identifier: 0519-07-EP
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

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.

Conditions

Hypertension

Outcome Measures

Primary Outcomes (1)

• Follow-up with Primary care physician

  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.

  one month

Study Arms (1)

Risk counseling

OTHER

Risk counseling regarding elevated blood pressure

Behavioral: Risk counseling

Interventions

Risk counseling BEHAVIORAL

cardiovascular risk counseling regarding elevated blood pressure

Risk counseling

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• University of Nebraska: lead

Study Sites (1)

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

Related Publications (3)

• 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.

  PMID: 12658251 RESULT

• 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.

  PMID: 16141017 RESULT

• 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.

  PMID: 10333343 RESULT

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Officials

• Srikar R Adhikari, MD

  University of Nebraska

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 25, 2008
• First Posted: November 26, 2008
• Study Start: April 16, 2008
• Primary Completion: December 20, 2010
• Study Completion: December 20, 2010
• Last Updated: September 15, 2023

Record last verified: 2023-09

Locations

US (1)