Ignite Creation Date:
2024-05-06 @ 3:11 PM
Last Modification Date:
2024-10-26 @ 1:45 PM
Study NCT ID:
NCT04553653
Status:
COMPLETED
Last Update Posted:
2021-08-13
First Post:
2020-09-11
Brief Title:
Improving Acute Hypertension Management Through Emergency Department Checklist
Sponsor:
Johns Hopkins University
Organization:
Johns Hopkins University
Study Overview
Official Title:
Improving Acute Hypertension Management Through Emergency Department Checklist
Status:
COMPLETED
Status Verified Date:
2021-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The investigators hypothesize that the implementation of a checklist in acute severe hypertension would result in improving short and long-term outcomes of patients with acute severe hypertension treated in the emergency department ED The investigators hypothesize that in the short-term a checklist would improve the diagnosis and management of end-organ damage as well as reduce the length of stay of acute severe hypertensive patients in the ED The investigators hypothesize that the checklist will result in better compliance with anti-hypertensive medications than without the checklist at six-month post-discharge
Detailed Description:
Hypertension is a global public health issue and results in over 10 million deaths every year The disease affects one-third of people living in low- and middle-income countries LMICs and contributes to half of all productivity losses in LMICs due to non-communicable diseases Though hypertension often presents as a chronic asymptomatic illness hypertension-related emergencies represent a significant burden to the health care system Acute severe hypertension ie systolic blood pressure SBP 180 mmHg or diastolic blood pressure DBP 110 mmHg make up to 5 of all emergency admission One-third of these patients present with end-organ damage a condition called a hypertensive crisis More worrisome is the fact that a number of ED visits as a result severe acute hypertension and hypertensive crises have almost tripled between 2006 and 2013 in the US Treatment approaches to managing acute severe hypertension 5 of ED patients are largely unclear and only 6 of ED patients with acute severe hypertension receive appropriate work-up for the end-organ damage indicating a huge care gap One approach which has been used successfully in managing other complex and critical conditions is the use of checklists Checklists are a listing of actions to be performed in a given clinical setting with the aim of improving adherence to standards reducing errors and thus improving patient outcomes The investigators hypothesize that the use of a Checklist if appropriately implemented can lead to an improvement in the care of patients presenting with hypertensive crisis During this study the investigators will measure the prevalence of acute severe hypertension and assess the current quality of care for these patients This will be followed by the development of a checklist for the management of the hypertensive crises in the ED The investigators will follow these patients to see the impact of the checklist on the quality of care and long-term outcomes
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 5R21TW011175-02 | NIH | None | httpsreporternihgovquickSearch5R21TW011175-02 |