REACH OUT: to Reduce High Blood Pressure in the Emergency Department



Status:Completed
Conditions:High Blood Pressure (Hypertension), Neurology
Therapuetic Areas:Cardiology / Vascular Diseases, Neurology
Healthy:No
Age Range:18 - Any
Updated:2/11/2018
Start Date:October 2014
End Date:August 2015

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One of the most powerful predictors of stroke is hypertension, with estimates of
approximately 33% of adults in the United States experiencing this condition.

Hypertension is very prevalent in the emergency department (ED), but significantly
undertreated. The overall goal of this project is to develop a text messaging intervention to
improve hypertension care in the ED. This will first be done by testing the feasibility of
identifying hypertensive patients in the ED, and the response rate to text messages.


Inclusion Criteria:

- Adult (≥18 y/o)

- At least one BP of systolic blood pressure (SBP) ≥160 or a diastolic blood pressure
(DBP) ≥100 or only BP performed prior to enrollment is SBP ≥160 or a DBP ≥100 (If the
patient has repeated measurements after achieving Criteria 1, but prior to being
enrolled, at least one of the repeat BP remains SBP ≥140 or a DBP ≥90)

- Must have mobile phones with text-messaging capability

- Likely to be discharged from the ED

Exclusion Criteria:

- Adult who is in an urgent condition

- Unable to read

- Non-English speaking

- Incarcerated/ institutionalized resident

- Pregnant, or has a pre-existing condition that makes follow-up for 4 months unlikely.
We found this trial at
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Ann Arbor, MI
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