作者: Ramon A. Durazo-Arvizu , Martha Daviglus , Heather M. Prendergast , Barry L. Carter , Marina Del Rios
DOI: 10.1016/J.CCT.2021.106283
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摘要: Abstract Background Uncontrolled or undiagnosed hypertension (HTN) is estimated to be as high 46% in emergency departments (EDs). HTN contributes significantly cardiovascular morbidity and disproportionately affects communities of color. EDs serve risk populations with uncontrolled conditions that are often missed by other clinical settings effective interventions for the ED critically needed. The well situated decrease disparities control providing a streamlined intervention may use their primary care. Methods Targeting UnControlled Hypertension Emergency Department (TOUCHED), two-arm single site randomized controlled trial 770 adults aged 18–75 presenting comparing (1) usual care, versus (2) an Educational Empowerment (E2) integrates Post-Acute Care Consultation (PACHT-c) mobile health BP self-monitoring kit. outcome differences mean systolic blood pressure (SBP) at 6-months post enrollment. Secondary outcomes include SBP diastolic (DBP) 3-months DBP 6-months. Additionally, improvement score, medication adherence, care engagement, knowledge will also assessed part this study. Conclusions TOUCHED instrumental determining effectiveness brief ED-based portable urban high-risk populations. Trial registration clinicaltrials.gov Identifier: NCT03749499 .