REACH OUT: to Reduce High Blood Pressure in the Emergency Department

University of Michigan0 sites104 target enrollmentOctober 2014

ConditionsHypertension Stroke

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Hypertension
Sponsor: University of Michigan
Enrollment: 104
Primary Endpoint: Proportion of people who respond to text messages and are persistently hypertensive
Status: Completed
Last Updated: 8 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

One of the most powerful predictors of stroke is hypertension, with estimates of approximately 33% of adults in the United States experiencing this condition.

Hypertension is very prevalent in the emergency department (ED), but significantly undertreated. The overall goal of this project is to develop a text messaging intervention to improve hypertension care in the ED. This will first be done by testing the feasibility of identifying hypertensive patients in the ED, and the response rate to text messages.

Registry

clinicaltrials.gov

Start Date

October 2014

End Date

August 2015

Last Updated

8 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

University of Michigan

Responsible Party

Principal Investigator

Lesli E. Skolarus, MD

Assistant Professor

University of Michigan

Eligibility Criteria

Inclusion Criteria

•Adult (≥18 y/o)
•At least one BP of systolic blood pressure (SBP) ≥160 or a diastolic blood pressure (DBP) ≥100 or only BP performed prior to enrollment is SBP ≥160 or a DBP ≥100 (If the patient has repeated measurements after achieving Criteria 1, but prior to being enrolled, at least one of the repeat BP remains SBP ≥140 or a DBP ≥90)
•Must have mobile phones with text-messaging capability
•Likely to be discharged from the ED

Exclusion Criteria

•Adult who is in an urgent condition
•Unable to read
•Non-English speaking
•Incarcerated/ institutionalized resident
•Pregnant, or has a pre-existing condition that makes follow-up for 4 months unlikely.

Outcomes

Primary Outcomes

Proportion of people who respond to text messages and are persistently hypertensive

Time Frame: 3 weeks

Secondary Outcomes

Change in systolic and diastolic blood pressure(4 months)
Feasibility of a screening algorithm(4 months)
Feasibility of subject follow-up mechanism(4 months)
Mean group differences and standard deviations for systolic blood pressure(4 months)