Journal article
Targeting of uncontrolled hypertension in the emergency department (TOUCHED): Design of a randomized controlled trial
Contemporary clinical trials, Vol.102, pp.106283-106283
03/2021
DOI: 10.1016/j.cct.2021.106283
PMCID: PMC8272286
PMID: 33484897
Abstract
Uncontrolled or undiagnosed hypertension (HTN) is estimated to be as high as 46% in emergency departments (EDs). Uncontrolled HTN contributes significantly to cardiovascular morbidity and disproportionately affects communities of color. EDs serve high risk populations with uncontrolled conditions that are often missed by other clinical settings and effective interventions for uncontrolled HTN in the ED are critically needed. The ED is well situated to decrease the disparities in HTN control by providing a streamlined intervention to high risk populations that may use the ED as their primary care.
Targeting of UnControlled Hypertension in the Emergency Department (TOUCHED), is a two-arm single site randomized controlled trial of 770 adults aged 18–75 presenting to the ED with uncontrolled HTN comparing (1) usual care, versus (2) an Educational and Empowerment (E2) intervention that integrates a Post-Acute Care Hypertension Consultation (PACHT-c) with a mobile health BP self-monitoring kit. The primary outcome is differences in mean systolic blood pressure (SBP) at 6-months post enrollment. Secondary outcomes include differences in mean SBP and mean diastolic BP (DBP) at 3-months and mean DBP at 6-months. Additionally, improvement in cardiovascular risk score, medication adherence, primary care engagement, and HTN knowledge will also be assessed as part of this study.
The TOUCHED trial will be instrumental in determining the effectiveness of a brief ED-based intervention that is portable to other urban EDs with high-risk populations.
clinicaltrials.gov Identifier: NCT03749499.
•Uncontrolled hypertension may be as high as 46% in emergency departments (ED).•The ED is well positioned to decrease health disparities in hypertension control.•This is a randomized controlled trial in 770 adults with uncontrolled hypertension.•Subjects will receive either usual care or the intervention including self-monitorin.•The trial will establish guidelines for high risk patients with hypertension in the ED.
Details
- Title: Subtitle
- Targeting of uncontrolled hypertension in the emergency department (TOUCHED): Design of a randomized controlled trial
- Creators
- Heather M. Prendergast - University of Illinois ChicagoRenee Petzel-Gimbar - University of Illinois ChicagoSpyros Kitsiou - Biomedical and Health Information Sciences, University of Illinois, Chicago, IL, USAMarina Del Rios - University of Illinois ChicagoBrenda Lara - University of Illinois ChicagoMaya Jackson - University of Illinois ChicagoSara Heinert - University of Illinois ChicagoBarry L. Carter - University of IowaRamon A. Durazo-Arvizu - Loyola University ChicagoMartha Daviglus - Institute for Minority Health Research, University of Illinois, Chicago, IL, USA.
- Resource Type
- Journal article
- Publication Details
- Contemporary clinical trials, Vol.102, pp.106283-106283
- DOI
- 10.1016/j.cct.2021.106283
- PMID
- 33484897
- PMCID
- PMC8272286
- NLM abbreviation
- Contemp Clin Trials
- ISSN
- 1551-7144
- eISSN
- 1559-2030
- Publisher
- Elsevier Inc
- Grant note
- DOI: 10.13039/100000002, name: National Institutes of Health
- Language
- English
- Date published
- 03/2021
- Academic Unit
- Emergency Medicine; Pharmacy Practice and Science
- Record Identifier
- 9984297143402771
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