MedPath

Evaluation of Cardiovascular Risk After Preeclampsia in General Practitioners and Patients

Completed
Conditions
Patients Hospitalized for Pre-eclampsia
Registration Number
NCT06059937
Lead Sponsor
Central Hospital, Nancy, France
Brief Summary

Pre-eclampsia is a disease characterized by placental damage leading to a cascade of complications during pregnancy. It is initially manifested by high blood pressure and the presence of albumin in the urine. It can lead to emergency hospitalization in severe cases and cause major complications or even death in the mother and the fetus.

Several studies observing the outcome of patients with pre-eclampsia have shown an increased long-term cardiovascular risk in these patients, justifying regular medical follow-up with the treating physician and specialists, mainly cardiologists.

The main objective of this research is to describe the cardiovascular risk assessment actions implemented by the treating general practitioner in the year following pre-eclampsia (blood pressure measurement in the office, self-measurement of blood pressure, ABPM, cardiological consultation, biological monitoring of blood (creatininemia, LDL, fasting glycemia) or urine (albuminurie/creatininurie ratio), and screening and management of possible smoking).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
155
Inclusion Criteria
  • Patients ≥ 18 years hospitalized for preeclampsia at the Nancy regional maternity hospital
Exclusion Criteria
  • Fetal death in utero;
  • Adult Person subject to a legal protection measure (guardianship, curatorship, safeguard of justice);
  • Person deprived of liberty by a judicial or administrative decision;
  • Person subject to psychiatric care under constraint by virtue of articles L. 3212-1 and L. 3213-1 of the Public Health Code.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Performing a blood pressure measurement by the general practitionerUp to one year following pre eclampsia

Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as blood pressure measurement in the office. Composite outcome with 2, 3, 4, 5 and 6

Performing a ambulatory measurement of blood pressureUp to one year following pre eclampsia

Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as ambulatory measurement of blood pressure. Composite outcome with 2, 3, 4, 5 and 6

Screening and management of possible smokingUp to one year following pre eclampsia

Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as screening and management of possible smoking. Composite outcome with 1, 2, 3, 4 and 5

Performing a self-measurement of blood pressureUp to one year following pre eclampsia

Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as self-measurement of blood pressure. Composite outcome with 2, 3, 4, 5 and 6

Performing a cardiological consultationUp to one year following pre eclampsia

Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as cardiological consultation. Composite outcome with 2, 3, 4, 5 and 6

Performing a biological monitoring of blood (creatinine, LDL cholesterol, fasting glucose, albuminuria creatinuria ratio)Up to one year following pre eclampsia

Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as biological monitoring of blood (creatinine, LDL, fasting glucose) or urine (Albuminuria/creatininuria ratio). Composite outcome with 2, 3, 4, 5 and 6.

Secondary Outcome Measures
NameTimeMethod
Performing a blood pressure measurementUp to one year following pre eclampsia

Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as blood pressure measurement in the office.

Performing a biological monitoring of blood (creatinine, LDL cholesterol, fasting glucose, albuminuria creatinuria ratio)Up to one year following pre eclampsia

Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as biological monitoring of blood (creatinine, LDL, fasting glucose) or urine (Albuminuria/creatininuria ratio).

Screening and management of possible smokingUp to one year following pre eclampsia

Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as screening and management of possible smoking.

Cardiovascular risk assessment by the patientUp to 5 years following pre eclampsia

Patient's cardiovascular risk evaluation by the patient (low, medium, high or very high).

Knowledge of pre-eclampsia statusUp to 5 years following pre eclampsia

Knowledge of the pre-eclampsia status of the patient by the general practitioner.

Performing a self-measurement of blood pressureUp to one year following pre eclampsia

Actions implemented by the general practiotioner within the following specific tools as reported by the patient.such as self-measurement of blood pressure.

Rate of stroke following pre-eclampsiaUp to 5 years following pre eclampsia

Composite endpoint of hypertension, stroke and/or coronary accident with 16;18

Rate of coronary accident following pre-eclampsiaUp to 5 years following pre eclampsia

Composite endpoint of hypertension, stroke and/or coronary accident with 16;17

Cardiovascular risk assessment by the general practitionerUp to 5 years following pre eclampsia

Patient's cardiovascular risk evaluation by the general practitioner (low, medium, high or very high).

Performing a cardiological consultationUp to one year following pre eclampsia

Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as cardiological consultation.

Performing a ambulatory measurement of blood pressureUp to one year following pre eclampsia

Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as ambulatory measurement of blood pressure.

Rate of hypertension following pre-eclampsiaUp to 5 years following pre eclampsia

Composite endpoint of hypertension, stroke and/or coronary accident with 17;18

Pre eclampsia information modeUp to 5 years following pre eclampsia

How general practitioner is informed about pre-eclampsia

Trial Locations

Locations (1)

CHRU de NANCY

🇫🇷

Vandoeuvre les nancy, France

© Copyright 2025. All Rights Reserved by MedPath