N/A
N=591
Reducing Clinical Inertia in Hypertension Treatment: A Pragmatic Trial
Hypertension
Bottom Line
View on ClinicalTrials.gov: NCT01145391 ↗Enrolled (actual)
591
Serious AEs
0.0%
Results posted
Oct 2012
Primary outcome: Primary: Blood Pressure — -10.1; -9.1 mm Hg — p=0.50
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Active Outreach to Patients and Providers (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Colorado, Denver
- Primary completion
- Oct 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Blood Pressure |
-10.1; -9.1 | 0.50 |
| SECONDARY Clinical Inertia |
-10.7; -29.3 | — |
Summary
The goal of this project is to use health information technology and team-based care in novel ways to support the establishment of a Patient-Centered Medical Home model of care aimed at improving the diagnosis and management of hypertension. Compared with patients who receive usual care, patients who receive intervention will have a lower average systolic blood pressure 9 months after randomization.
Eligibility Criteria
Inclusion Criteria
- Adult men and women age 18-79
- At least 2 Blood Pressure readings from separate days on record
- Average of last 3 Blood Pressure readings (or last 2 if only 2 available) with (Systolic Blood Pressure ≥140 or Diastolic Blood Pressure ≥90) and (last Systolic Blood Pressure ≥135 or last Diastolic Blood Pressure ≥85), recorded by any University of Colorado Hospital clinic within the last 18 months
- No clinic visit in the past month
- At least one Primary Care Physician visit in the past 18 months
- First Primary Care Physician visit at least 6 months in the past
Exclusion Criteria
- Serious comorbidities, including active cancer diagnosis, hospice care, nursing home residence
- Diagnosis of diabetes (these patients are enrolled in a separate study that also targets Blood Pressure control)
- End-stage renal disease / hemodialysis
- Primary Care Physician appointment pending
- Patient instructed to monitor Blood Pressure at home / documentation of white coat hypertension
- Blood Pressure managed by specialist or outside provider
Data sourced from ClinicalTrials.gov (NCT01145391). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.