Hypertension
Conditions
Keywords
Emergency Medical Services, Emergency Care, Hypertension, BpTRU, Blood pressure
Brief summary
The purpose of this study is to evaluate the Congruence of Emergency Department (ED) Attendings' Predictions of Hypertension with Results of Home Blood Pressure Monitoring.
Detailed description
Evaluate the Congruence of Emergency Department (ED) Attendings' Predictions of Hypertension with Results of Home Blood Pressure Monitoring & evaluate reliability of ED measured elevated blood pressure compared to the BpTRU
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* One elevated blood pressure greater than 120 systolic and/or 80 diastolic * BpTRU device blood pressure greater than 120 systolic and/or 80 diastolic while in ED
Exclusion criteria
* Prior history of hypertension * Currently on antihypertensives or receiving prescription on discharge * Pregnancy * History of atrial fibrillation * Dialysis patient * Nursing home or rehabilitation center resident * Admitted * Moving out of the area in next 30 days * Substance abuse * Prisoner * Presenting for psychiatric complaint requiring constant observation * Inability to give informed consent (intoxicated, altered, non-English speaking) * Presenting with symptoms of hypertensive emergency * Inability to demonstrate adequate use of the home blood pressure device in the ED * Arm circumference less than 9 inches or greater than 17 inches
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of emergency department attendings that accurately predict which patients meet criteria for hypertension in two week follow-up using home blood pressure monitoring. | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| The predictive value of the emergency department measured blood pressure by the standard ED blood pressure device, BpTRU device, and home blood pressure device for hypertension in follow-up | 18 months |
Countries
United States