Stroke Telemedicine Outpatient Program (STOP) for Blood Pressure Reduction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke Prevention
- Sponsor
- The University of Texas Health Science Center, Houston
- Enrollment
- 83
- Locations
- 1
- Primary Endpoint
- Daytime Ambulatory Systolic Blood Pressure
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
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.
Investigators
Anjail Z Sharrief
Assistant Professor
The University of Texas Health Science Center, Houston
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Daytime Ambulatory Systolic Blood Pressure
Time Frame: 6 months after enrollment
Blood pressure will be assessed with an ambulatory blood pressure monitor (ABPM).
Secondary Outcomes
- 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)