Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations
Purpose
This single-center, single-arm quasi-experimental study will assess the feasibility and acceptability of a community health worker (CHW)-led intervention to address social determinants of health (SDOH) among emergency department patients with hypertension. At enrollment, participants (N=15) will complete standardized SDOH surveys in REDCap, and CHWs will facilitate referrals to local community-based organizations that address identified social needs. With participant consent, the study will also include medical record review through EPIC and Healthix to evaluate healthcare utilization-including emergency department visits, hospitalizations, and outpatient encounters-during the one-year period before and after the index ED visit.
Condition
- Asymptomatic Hypertension
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
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.
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Health Services Research
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Participants with Hypertension |
Participants with hypertension in high-risk Emergency Department populations |
|
Recruiting Locations
Icahn School of Medicine at Mount Sinai
New York, New York 10029
New York, New York 10029
More Details
- Status
- Recruiting
- Sponsor
- Icahn School of Medicine at Mount Sinai