Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies

Completed

• Conditions: Hypertensive Emergency; Hypertensive Urgency
• Interventions: Other: Telemedical care

• Registration Number: NCT02924805
• Lead Sponsor: RWTH Aachen University

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).

Study Timeline

• Study Start: 2013-11
• Primary Completion: 2015-03
• Study Completion: 2016-08
• Status Verified: 2016-10
• Study First Submitted: 2016-10-03
• Study First Submitted QC: 2016-10-03
• Last Update Submitted: 2016-10-03
• Study First Posted: 2016-10-05
• Last Update Posted: 2016-10-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 331

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Telemedicine group	Telemedical care	Cases of hypertensive emergencies and urgencies in which the prehospital emergency care was performed by on-scene paramedics, guided by a qualified physician in a teleconsultation center.

Primary Outcome Measures

Name	Time	Method
Blood pressure difference between initial contact and emergency room handover	2 hours

Secondary Outcome Measures

Name	Time	Method
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)

Trial Locations

Locations (1)

University Hospital Aachen; 🇩🇪 Aachen, Germany