Stroke Telemedicine Outpatient Program (STOP) for Blood Pressure Reduction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 83
- 试验地点
- 2
- 主要终点
- Daytime Ambulatory Systolic Blood Pressure
研究概览
简要总结
The purpose of this pilot trial is to compare post-stroke care blood pressure (BP) treatment using an interdisciplinary telehealth model [called the Stroke Telemedicine Outpatient Program (STOP) for Blood Pressure Reduction] to usual care in stroke patients at risk for uncontrolled BP. The intervention will address general and stroke-related factors associated with racial disparities in BP control. We will assess feasibility of implementation of the trial and will use the measures and outcomes assessed in the pilot to examine knowledge gaps.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ischemic and hemorrhagic stroke patients
- •Presence of at least one of the following high risk criteria: uninsured, Medicaid payer status, small vessel ischemic stroke, hypertensive ICH)
- •Age ≥ 18; presence of hypertension (by clinical history or hospital BP ≥140/90 on two occasions)
- •Plan to discharge home after stroke
- •Ability to provide consent (patient or caregiver)
- •Ability to communicate in English
排除标准
- •modified Rankin scale > 4 at the time of enrollment (severe disability)
- •life expectancy < 1 year or terminal illness,
- •eGFR < 30 at time of discharge
- •pregnancy
- •symptomatic flow limiting carotid stenosis without plan for intervention
- •urine toxicology positive for cocaine or methamphetamine or recent use
- •long-term BP goal ≥ 130/80 mmHg according to clinical team
结局指标
主要结局
Daytime Ambulatory Systolic Blood Pressure
时间窗: 6 months after enrollment
Blood pressure will be assessed with an ambulatory blood pressure monitor (ABPM).
次要结局
- Nighttime Diastolic Blood Pressure(6 months)
- Body Mass Index(BMI)(6 months)
- Night Time Ambulatory Systolic Blood Pressure(6 months)
- Daytime Ambulatory Diastolic Blood Pressure(6 months)
- Number of Participants With Recurrent Vascular Events (Stroke, Myocardial Infarction, Acute Cardiac Death)(6 months)
- Number of Participants With Acute Healthcare Utilization(6 months)
研究者
Anjail Z Sharrief
Assistant Professor
The University of Texas Health Science Center, Houston