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OpenTrials
Completed

NCT Number: NCT02924805

Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies

Comparison of telemedical prehospital emergency care and conventional on-scene physician based care of hypertensive emergencies and urgencies. The adherence to current Guidelines should be researched.

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Key information

Conditions

Hypertensive Emergency Cardiovascular Diseases Hypertension Hypertensive Crisis Hypertensive Urgency Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital Aachen

Aachen, 52074, Germany

About this study

Telemedically guided cases of hypertensive emergencies (april 2014 - March 2015) and urgencies are compared with a historical control group of conventional emergency medical service physician care on-scene for these scenarios. The historical control group is a time period prior to implementation of the telemedicine system and after a research project with a precursor telemedicine system. No telemedical support but only conventional on-scene EMS physician care was available (November 2013 - March 2014).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • prehospital diagnosis of hypertensive emergency of hypertensive urgency

Exclusion criteria

Prehospital diagnoses of:

  • pulmonary edema
  • aortic dissection
  • acute coronary syndrome
  • acute stroke
  • acute respiratory insufficiency

Treatment and study plan

Telemedical care

Other

Telemedically guided care based on a standard operating procedure

Primary outcomes

  1. Blood pressure difference between initial contact and emergency room handover

    Time frame: 2 hours

Secondary outcomes

  1. Difference of heart rate between initial contact and emergency room handover

    Time frame: 2 hours

  2. Magnitude of blood pressure reduction using categories

    Time frame: 2 hours

    To measure guideline adherence blood pressure (BP) reductions were evaluated with four categories: no BP reduction, reduction <= 25%, reduction >25-30%, reduction > 30% (BP difference between initial contact and emergency room handover)

Other outcomes

  1. Analysis of administered antihypertensive agents

    Time frame: 2 hours

  2. context specific quality of medical history and documentation

    Time frame: 2 hours

    Analysis of medical history and vital parameter documentation completeness

Sponsors and collaborators

Lead sponsor

RWTH Aachen University

Other

Registry information

Official study title

Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies and Urgencies

Important dates

Study start
2013
Primary completion
2015
Study completion
2016
First posted
Oct 5, 2016
Registry last updated
Oct 5, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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