Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06635616
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-10-08
Brief Title:
Hypertension Management in Terms of Routine Agents
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Emergency Department Hypertension Management Effects of Routine Oral Antihypertensive Agents on Emergency Management of Hypertension
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
known hypertensive patients admitted to emergency department with increased blood pressure will be evaluated in terms of antihypertensive agents given at hospital degree of blood pressure decrease hospital stay and laboratory and imaging tests ordered The impact of routine oral antihypertensive agents used by the patients on these parameter will be assessed
Detailed Description:
Hypertensive patients account for approximately 1-25 of annual emergency department visits While this figure varies by region hypertensive patients are among the groups that contribute significantly to emergency department crowding and workload Hypertensive emergencies constitute about 03-09 of all patients and this number is rapidly increasing each year
The 2017 AHA hypertension guidelines emphasize that severe elevations in blood pressure hypertensive crisis and hypertensive urgency do not require emergency department visits or referrals unless there is end-organ damage It is noted that treatment in these patients typically involves dose adjustment or a change in medication
The 2023 ESC hypertension guidelines recommend that in patients presenting to the emergency department with a hypertensive crisis blood pressure should be gradually lowered with oral agents over a 24-48 hour period These patients do not usually require hospital admission but can be monitored in an outpatient setting for clinical evaluation It is noted that their blood pressure may remain elevated upon discharge from the emergency department and follow-up in a clinic is necessary for reevaluation of chronic therapy
Some studies have indicated that both oral and intravenous treatments are preferred for patients presenting with hypertensive crises highlighting that the approach can vary from physician to physician
When evaluating literature reviews published guidelines and conducted studies it is observed that there are differences between European and American approaches in defining and treating hypertensive crisis as well as variability in physician management of these patients
In our study we plan to evaluate the effect of emergency department treatment on lowering blood pressure in known hypertensive patients 14080 without end-organ damage Additionally we aim to assess the impact of the antihypertensive agents that patients routinely use on their length of stay in the emergency department as well as the frequency and effectiveness of the medications used and the target blood pressure values achieved post-treatment according to guidelines
The 2017 AHA hypertension guidelines emphasize that severe elevations in blood pressure hypertensive crisis and hypertensive urgency do not require emergency department visits or referrals unless there is end-organ damage It is noted that treatment in these patients typically involves dose adjustment or a change in medication
The 2023 ESC hypertension guidelines recommend that in patients presenting to the emergency department with a hypertensive crisis blood pressure should be gradually lowered with oral agents over a 24-48 hour period These patients do not usually require hospital admission but can be monitored in an outpatient setting for clinical evaluation It is noted that their blood pressure may remain elevated upon discharge from the emergency department and follow-up in a clinic is necessary for reevaluation of chronic therapy
Some studies have indicated that both oral and intravenous treatments are preferred for patients presenting with hypertensive crises highlighting that the approach can vary from physician to physician
When evaluating literature reviews published guidelines and conducted studies it is observed that there are differences between European and American approaches in defining and treating hypertensive crisis as well as variability in physician management of these patients
In our study we plan to evaluate the effect of emergency department treatment on lowering blood pressure in known hypertensive patients 14080 without end-organ damage Additionally we aim to assess the impact of the antihypertensive agents that patients routinely use on their length of stay in the emergency department as well as the frequency and effectiveness of the medications used and the target blood pressure values achieved post-treatment according to guidelines
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None