New ways to manage high blood pressure for high-risk emergency department patients
Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations: A Feasibility Study
It will try using community health workers to help emergency department patients in New York City with uncontrolled high blood pressure by connecting them to local social services.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 15 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Icahn School of Medicine at Mount Sinai Academic / other |
| Locations | 1 site (New York, New York) |
| Trial ID | NCT07539597 on ClinicalTrials.gov |
What this trial studies
This single-center, single-arm quasi-experimental project will enroll 15 adults with uncontrolled hypertension who present to the Mount Sinai emergency department. At enrollment, participants will complete standardized social determinants of health surveys in REDCap and community health workers (CHWs) will facilitate referrals to local community-based organizations for identified needs. With participant consent, investigators will review medical records in EPIC and Healthix to compare emergency department visits, hospitalizations, and outpatient encounters during the year before and after the index ED visit. The primary focus is on feasibility and acceptability of the CHW-led SDOH referral process in this ED population.
Who should consider this trial
Good fit: Adults (≥18) who live in one of the five boroughs of New York City, speak English or Spanish, have a known diagnosis of hypertension with uncontrolled blood pressure at the ED visit, and can provide consent are ideal candidates.
Not a fit: Patients who are pregnant, unable to consent, have end-stage renal disease, heart failure, a BMI >50, live outside the five boroughs, or whose needs cannot be addressed by local community resources may not receive benefit.
Why it matters
Potential benefit: If successful, this approach could improve patients' access to social services and potentially reduce emergency visits and improve blood pressure control.
How similar studies have performed: Prior community health worker and SDOH-referral programs have shown promise for improving chronic disease management and reducing healthcare use, but ED-based CHW interventions for uncontrolled hypertension are relatively limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years and older who reside in the 5 boroughs of NYC, * whom speak English or Spanish, * have a known diagnosis of hypertension, and * have uncontrolled hypertension, defined as two measures of systolic blood pressure (SBP) ≥140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg obtained during their ED visit. Exclusion Criteria: * Patients who are unable to consent, * pregnant patients, * patients with a history of end stage renal disease, a history of heart failure or a BMI of greater than 50.
Where this trial is running
New York, New York
- Icahn School of Medicine at Mount Sinai — New York, New York, United States (Recruiting)
Study contacts
- Principal investigator: Marcee Wilder, MD MPH — Ismms
- Study coordinator: Cindy Clesca
- Email: cindy.clesca@mountsinai.org
- Phone: 212-824-8057
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.