Perioperative Blood Pressures and Chronic Hypertension
The Association Between Home Blood Pressures and Clinic Blood Pressures in Patients Presenting for Surgery.
2 other identifiers
observational
200
1 country
1
Brief Summary
This study aims to assess the performance of presurgical clinic blood pressure measurements in predicting home blood pressure readings among surgical patients. It also aims to measure the association between home blood pressures and patient perspectives on blood pressure control.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2015
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 6, 2014
CompletedFirst Posted
Study publicly available on registry
May 13, 2014
CompletedStudy Start
First participant enrolled
November 9, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 11, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
January 16, 2018
CompletedResults Posted
Study results publicly available
December 14, 2018
CompletedJune 5, 2023
June 1, 2023
1.2 years
May 6, 2014
November 20, 2018
June 1, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Performance of Blood Pressure Referral Threshold
The positive predictive value of preadmission testing-measured blood pressure to predict mean home blood pressure \>135/85mmHg will be calculated.
Subjects followed for approximately 1 year
Secondary Outcomes (5)
Patient Perspectives and Beliefs Regarding Blood Pressure Status as They Relate to Actual Home Blood Pressures.
Approximately 60 days
Preidentified Subgroups
1 year
Patient Perspectives
60 days
Patient Adherence
60 days
Preidentified Subgroup Analysis
1 year
Eligibility Criteria
Ambulatory surgical patients \>= 21 years of age presenting for preadmission testing to a tertiary care hospital and who demonstrate elevated clinic blood pressures greater than or equal to 130/85mmHg.
You may qualify if:
- Ambulatory patients \>= 21 years of age presenting for surgery to a tertiary care preadmission testing clinic.
You may not qualify if:
- Inability or unwillingness to independently operate a home blood pressure monitor.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yale Universitylead
- National Heart, Lung, and Blood Institute (NHLBI)collaborator
Study Sites (1)
Yale-New Haven Hospital PreAdmission Testing Clinic
New Haven, Connecticut, 06520, United States
Related Publications (3)
Schonberger RB, Dai F, Brandt CA, Burg MM. Balancing Model Performance and Simplicity to Predict Postoperative Primary Care Blood Pressure Elevation. Anesth Analg. 2015 Sep;121(3):632-641. doi: 10.1213/ANE.0000000000000860.
PMID: 26214552BACKGROUNDSchonberger RB, Burg MM, Holt N, Lukens CL, Dai F, Brandt C. The relationship between preoperative and primary care blood pressure among veterans presenting from home for surgery: is there evidence for anesthesiologist-initiated blood pressure referral? Anesth Analg. 2012 Jan;114(1):205-14. doi: 10.1213/ANE.0b013e318239c4c1. Epub 2011 Nov 10.
PMID: 22075017BACKGROUNDSchonberger RB. Ideal blood pressure management and our specialty. J Neurosurg Anesthesiol. 2014 Jul;26(3):270-1. doi: 10.1097/ANA.0000000000000012. No abstract available.
PMID: 24905036BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
94% of participants returned Home BP cuffs with at least one valid reading.
Results Point of Contact
- Title
- Dr. Robert Schonberger, PI
- Organization
- Yale School of Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Schonberger, MD/MHS
Yale University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 6, 2014
First Posted
May 13, 2014
Study Start
November 9, 2015
Primary Completion
January 11, 2017
Study Completion
January 16, 2018
Last Updated
June 5, 2023
Results First Posted
December 14, 2018
Record last verified: 2023-06