Hypertension, Perioperative Hypertension
Conditions
Brief summary
Elevated blood pressure is the largest contributing risk factor to all-cause and cardiovascular mortality. According to the U.S. Preventive Services Task Force, hypertension affects nearly 30% of the adult population. Many patients remain undiagnosed, despite the consensus that screening and timely diagnosis is paramount. In this study, 108 ambulatory surgery patients with elevated blood pressure (160/90) that are not yet formally diagnosed with hypertension will be enrolled and alerted of their high blood pressure by a co-investigator MD. They will request permission to follow-up with the patient and the patient's primary care provider 6 months after the initial phone call to check in on the status of their diagnosis and any action taken (lifestyle changes, medication) to alleviate their high blood pressure. Patients will receive a follow-up letter/email at 6 and 3 months to remind them of their potential diagnosis.
Interventions
OTHERAnesthesiologist phone call
Patients receiving ambulatory surgery with no prior diagnosis of hypertension but have elevated blood pressure prior to surgery. Patients will receive a phone call from a participating anesthesiologist 1-3 days after surgery notifying them of their high blood pressure and obtaining oral consent to participate in the study. Patients will receive reminders via mail about following up with their PCP.
Sponsors
Hospital for Special Surgery, New York
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients undergoing elective ambulatory surgery * Patients with a pre-operative elevated BP defined as greater than 160/90 * Patients above the age of 18 * English speaking
Exclusion criteria
* Patients with a pre-existing diagnosis of HTN * Patients who are taking a hypertensive medication * Patients who had a pre-operative surgical screening assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnosis of hypertension 6 months after surgery | 6 months postoperative | The number of patients with previously undiagnosed hypertension that have obtained a formal diagnosis of hypertension |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PCP follow up 6 months after surgery | 6 months postoperative | Number of patients that followed-up with a primary care physician for further hypertension testing within 6 months of surgery |
| Hypertension treatment 6 months after surgery | 6 months postoperative | Number of patients that followed-up for their hypertension that received some sort of treatment, either medication or lifestyle |
Countries
United States
Outcome results
None listed