Emergency Department Interventions to Improve Blood Pressure Follow-up

Study Overview
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Brief Summary
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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
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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.

Official Title
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Emergency Department Interventions to Improve Blood Pressure Follow-up

Conditions
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Hypertension

Intervention / Treatment
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* Behavioral: Risk counseling


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Risk counseling<br>Risk counseling regarding elevated blood pressure | Behavioral: Risk counseling<br>* cardiovascular risk counseling regarding elevated blood pressure<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 |