Post CVA Persistent Hypetension, Interest of Caring by Tensional Auto-measures
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 240
- 试验地点
- 4
- 主要终点
- tensional auto-measure
研究概览
简要总结
The study HIPPOCRATE is a prospective open comparative study with a control group.
The objective of this study is to show that an optimization of the caring of non controlled hypertended patients following a CVA (including a preliminary Tensional auto-measure (TAM) at the follow-up visit, an education of the patient with a decision support tree for the generalist and/or a visit in the multidisciplinary AHT department), allow to obtain a better tensional control copared to the usual caring.
详细描述
This study compares the usual follow up of patients seen at a visit three months following the CVA, with a optimised follow up including the tensional auto-measure, the education of the patient and the information of the generalist and the appeal to the AHT multidisciplinary visit for resistant patients, in compliance with the guidelines.
All the hypertended patients able to realise a course of tensional automeasures will be invited to realise a course of tensional auto-measures during three days preceding the visit in the neurology department.
The tensional measures will be performed according the methodology recommended by HAS.
This strategy of caring is conform to the HAS and ESH recommendations regarding the follow up of the hypertended patients.
The hospitalised patients in neurology for CVA are in all cases convocated to the follow up visit three months after the hospitalisation. The patients will be trained in the use of the TAM by the nurse of the neurology depratment before his dropout from the neurology department at the end of hospitalisation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient male or female from 20 to 80 years old included.
- •ischemic or haemorragic CVA or TIA necessiting an hospitalisation or a consultation in the neurolgy department, from more than 2 months.
- •Pression ≥140/90 ou 130/80 (diabetic) during the post CVA consultation and a mean TAM ≥135/85 ou 125/75 (diabetic) = non controlled AHT OR Pression < 140/90 ou 130/80 (diabetic) during the post CVA consultation and a mean TAM ≥ 135/85 ou 125/75 (diabetic) = masked AHT
- •Patient agreed to participate to the study and having signed the informed consent from
排除标准
- •malignant AHT necessiting the urgent and specialised caring
- •Persistance of a carotids bilateral stenosis from more than 70%
- •Severe Renal Insufficiency (Creatinin Clearance estimated by the formula MDRD < 30 ml/mn)
- •CVA with major sequelae which according the judgement of the investigator will not allow to realise TAM :
- •Major Cognitive Troubles
- •Severe motor Troubles
- •Severe concomitant Pathology
- •Patient not speaking and not understanding french.
- •Contre-indications to the realisation of TAM :
- •Cardiac Arythmy
- •Obese Patients for which the circumference of the arm is > 33 cm
- •Patient refusing to go to the 3 months after hospitalisation follow up consultation.
- •Patient with no identified generalist
- •Patient refusing to sign the informed consent form.
- •Absence of affiliation to a Social system.
结局指标
主要结局
tensional auto-measure
时间窗: 6 months
次要结局
未报告次要终点