New ways to manage high blood pressure for high-risk emergency department patients
Official title: Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations: A Feasibility Study
Run by Icahn School of Medicine at Mount Sinai · NCT07539597 · Data updated 2026-11-12
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
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 15 (estimated) |
| Sponsor | Icahn School of Medicine at Mount Sinai Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | February 12, 2026 |
| Main results expected | July 31, 2026 |
| Study ends | July 31, 2026 |
| Registry record updated | April 20, 2026 |
| Trial ID | NCT07539597 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a 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.
✕Probably 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.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
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.
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 gone: 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.
Who can join: the full rules
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 it's running
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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 take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.