Perioperative Blood Pressure Screening to Improve Long-term Cardiovascular Health
| Status: | Recruiting |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/31/2019 |
| Start Date: | August 31, 2018 |
| End Date: | September 30, 2019 |
| Contact: | Robert Schonberger, MD |
| Email: | robert.schonberger@yale.edu |
| Phone: | 203-785-2802 |
To explore in a pilot randomized clinical trial, the impact of Home Blood Pressure Monitoring
with patient directed information as compared to usual care on the postoperative management
of blood pressure.
with patient directed information as compared to usual care on the postoperative management
of blood pressure.
The intervention and control groups will be defined by, 1) preoperative home blood pressure
monitoring with a detailed report sent to the patient, and 2) usual standard of care
including a suggestion during the pre-operative clinic appointment to follow up with Primary
Care. Both groups will receive a brief questionnaire about their blood pressure treatment and
medication adherence. We will examine the rate of primary care follow-up and changes in
hypertension treatment at 60 days post-operative, through a telephone call. This information,
along with information regarding patient acceptance of the intervention will be used to
inform the design of a future clinical trial powered to outcomes, including follow-up visits
and blood pressure management.
monitoring with a detailed report sent to the patient, and 2) usual standard of care
including a suggestion during the pre-operative clinic appointment to follow up with Primary
Care. Both groups will receive a brief questionnaire about their blood pressure treatment and
medication adherence. We will examine the rate of primary care follow-up and changes in
hypertension treatment at 60 days post-operative, through a telephone call. This information,
along with information regarding patient acceptance of the intervention will be used to
inform the design of a future clinical trial powered to outcomes, including follow-up visits
and blood pressure management.
Inclusion Criteria:
- We propose to recruit patients who present for ambulatory surgery, aged >18 years,
with a preoperative blood pressure > 140/90 mmHg taken as the mean of two readings
during the pre-admission testing visit.
Exclusion Criteria:
- Patients who are unable or unwilling to be contacted by telephone, are non-English
speaking, or are unable to operate an automated home blood pressure monitor will also
be excluded.
- Healthy patients with blood pressure readings that fall within the American Heart
Association (AHA) guidelines.
We found this trial at
1
site
New Haven, Connecticut 06520
Principal Investigator: Robert Schonberger, MD/MHS
Phone: 203-785-2802
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