Идёт набор NCT06096701

Use of a Cloud-connected Remote Blood Pressure Monitoring Program During the Postpartum Period for Hypertensive Women

— Наблюдательное Hypertensive Disorder

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Blood pressure cuff.
Кому может быть актуально: Состояния в реестре: Hypertensive Disorder. Базовые параметры: 18 лет — 54 лет · Женщины.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

Hypertensive disorders (HD), including preeclampsia, gestational hypertension, chronic hypertension, and chronic hypertension with superimposed preeclampsia, affect around 10-20% of pregnant women in the United States and are significantly associated with maternal mortality and morbidity, particularly in the postpartum period. The prevalence of HD is on the rise in the United States and has increased from 13% in 2017 to 16% in 2019 owing to an increase in advanced maternal age, obesity, and diabetes. There are major racial disparities in HD and subsequent maternal mortality and morbidity. HD affect more than 1 in 5 delivery hospitalizations of Black women. Black women with HD are also more likely than white women with HD to have more adverse postpartum blood pressure trajectories which leads to a higher incidence of hypertension related hospital readmissions (readmission for hypertension during the first 6-weeks postpartum: 16.9% among Black women vs. 9.5% among white women, p=0.02) and cardiovascular-related adverse events. However, most of the management recommendations have been centered around blood pressure targets during the antepartum period with significantly less attention paid to the postpartum period despite evidence showing that hypertensive disorders are the most common reason for postpartum readmissions and are associated with increased maternal mortality and morbidity and a significant cost burden.

Подробное описание

Вмешательства

Устройство Blood pressure cuff
The BP cuff is connected in a Health Insurance Portability and Accountability Act-compliant fashion to the patient's medical record, allowing for documentation and communication with the nurse and the care team. Alerts are triggered if a patient has not checked her BP for 3 days or when readings fall outside a specific threshold (high or low BP alerts). Based on these alerts, the nurse follows up with these patients and reminds them to take a reading. The nurse will also notify participants with

Первичные конечные точки

Blood pressure ascertainment [Срок оценки: First 6 weeks postpartum]

Вторичные конечные точки (3)

Percent of patients attending an in-person postpartum visit [Срок оценки: First 8 weeks postpartum]
Percent of patients readmitted to the hospital through 12 months postpartum [Срок оценки: 12 months postpartum]
Survey assessing patient's acceptability and satisfaction with the BP monitoring program [Срок оценки: First 8 weeks postpartum]

Критерии участия

Критерии включения

Pregnant individuals with hypertensive disorders
Speak English
At least 18 years old
Medicaid coverage
Between 20 weeks of pregnancy and 2 weeks postpartum
Postpartum admission at Prisma Health Richland with hypertensive disorder within 2 weeks postpartum