Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies and Urgencies
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hypertensive Emergency
- Sponsor
- RWTH Aachen University
- Enrollment
- 331
- Locations
- 1
- Primary Endpoint
- Blood pressure difference between initial contact and emergency room handover
- Status
- Completed
- Last Updated
- 9 years ago
Overview
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).
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Blood pressure difference between initial contact and emergency room handover
Time Frame: 2 hours
Secondary Outcomes
- Difference of heart rate between initial contact and emergency room handover(2 hours)
- Magnitude of blood pressure reduction using categories(2 hours)