Remote Postpartum Blood Pressure Monitoring and Cardiovascular Education to Reduce Emergency Department Visits, Re-admissions and Adverse Cardiovascular Outcomes in Hypertensive Disorder of Pregnancy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 296
- 试验地点
- 2
- 主要终点
- Engagement
研究概览
简要总结
The goal of this clinical trial is to learn if patient education and regular text reminders are a feasible intervention to engage patients and reduce post partum hypertension. The main questions it aims to answer are:
Is a structured postpartum remote blood pressure monitoring intervention with education and individualized medication initiation/adjustment follow-up by televisit feasible? Does a structured program reduce the occurrence of postpartum hypertension, ED visits, hospital readmissions, and adverse outcomes?
Participants will:
View an educational video on HDP post-delivery Receive 1-2 times daily text messages for 6 weeks postpartum Have their blood pressure medications adjusted to lower targets post partum
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age of at least 18 years.
- •Postpartum status.
- •Experience new-onset hypertension during pregnancy.
- •Enrollment in Connected MOM.
- •Ability to provide informed consent.
- •Establish medical care within the Ochsner System to facilitate data collection.
排除标准
- •History of preeclampsia or gestational hypertension during previous pregnancy
- •History of chronic hypertension
- •History of coronary artery disease (myocardial infarction, coronary stent placement, coronary artery bypass grafting, spontaneous coronary artery dissection)
- •History of ischemic CVA
- •History of Congestive heart failure
- •Renal dysfunction
- •Liver dysfunction
- •Left ventricular dysfunction
- •Congenital heart disease
- •Still birth at delivery
结局指标
主要结局
Engagement
时间窗: 6 weeks
Engagement will be defined by frequency of use: number of remote BP measurements ascertained during the 6 week postpartum period.
Acceptability
时间窗: 6 weeks
Post program survey questions using 5-item Likert response scale at 6 weeks postpartum
Duration of Participation
时间窗: 6 weeks
Duration of participation is defined by the last day of recorded remote BP measurement
次要结局
- Post partum Blood pressure(1 year)
- Number of ED visits(1 year)
- Severe Maternal Morbidity(1 year)
- Number of Inpatient re-admissions(1 year)
- Post partum visit follow up(6 weeks)