Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies

Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies and Urgencies

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02924805

Enrollment

331

Registered

2016-10-05

Start date

2013-11-30

Completion date

2016-08-31

Last updated

2016-10-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypertensive Emergency, Hypertensive Urgency

Brief summary

Comparison of telemedical prehospital emergency care and conventional on-scene physician based care of hypertensive emergencies and urgencies. The adherence to current Guidelines should be researched.

Detailed description

Telemedically guided cases of hypertensive emergencies (april 2014 - March 2015) and urgencies are compared with a historical control group of conventional emergency medical service physician care on-scene for these scenarios. The historical control group is a time period prior to implementation of the telemedicine system and after a research project with a precursor telemedicine system. No telemedical support but only conventional on-scene EMS physician care was available (November 2013 - March 2014).

Interventions

OTHERTelemedical care

Telemedically guided care based on a standard operating procedure

Study design

Observational model

CASE_CONTROL

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* prehospital diagnosis of hypertensive emergency of hypertensive urgency

Exclusion criteria

Prehospital diagnoses of: * pulmonary edema * aortic dissection * acute coronary syndrome * acute stroke * acute respiratory insufficiency

Design outcomes

Primary

Measure	Time frame
Blood pressure difference between initial contact and emergency room handover	2 hours

Secondary

Measure	Time frame	Description
Difference of heart rate between initial contact and emergency room handover	2 hours	—
Magnitude of blood pressure reduction using categories	2 hours	To measure guideline adherence blood pressure (BP) reductions were evaluated with four categories: no BP reduction, reduction \<= 25%, reduction \>25-30%, reduction \> 30% (BP difference between initial contact and emergency room handover)

Other

Measure	Time frame	Description
Analysis of administered antihypertensive agents	2 hours	—
context specific quality of medical history and documentation	2 hours	Analysis of medical history and vital parameter documentation completeness

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026