Feasibility of a randomized hypertension screening initiative in the perioperative setting

Abstract Objectives This study sought to assess feasibility of a randomized trial of blood pressure intervention (home blood pressure monitoring vs. counseling) in the preoperative clinic and the baseline rates of primary care follow-up after such interventions. Methods A prospective randomized feas...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sofia I. Diaz, Luying Yan, Feng Dai, Bin Zhou, Matthew M. Burg, Robert B. Schonberger
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Preoperative blood pressure screening Hypertension Home blood pressure monitoring Surgery RD1-811
Acceso en línea:	https://doaj.org/article/a5b8de56d5c541019dc92bb97fd60756
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a5b8de56d5c541019dc92bb97fd60756
record_format	dspace
spelling	oai:doaj.org-article:a5b8de56d5c541019dc92bb97fd607562021-11-28T12:38:18ZFeasibility of a randomized hypertension screening initiative in the perioperative setting10.1186/s13741-021-00210-72047-0525https://doaj.org/article/a5b8de56d5c541019dc92bb97fd607562021-11-01T00:00:00Zhttps://doi.org/10.1186/s13741-021-00210-7https://doaj.org/toc/2047-0525Abstract Objectives This study sought to assess feasibility of a randomized trial of blood pressure intervention (home blood pressure monitoring vs. counseling) in the preoperative clinic and the baseline rates of primary care follow-up after such interventions. Methods A prospective randomized feasibility study was performed at Yale New Haven Hospital Preadmission Testing Clinic. A sample of 100 adults, with elevated blood pressure, were recruited during their preadmission visit, and randomized 1:1 to receive brief BP counseling and an educational brochure versus additionally receiving a home BP monitor (HBPM) with a mailed report of their home readings. At 60-day post-surgery telephone follow-up, investigators asked whether participants had primary-care follow-up; had new/adjusted hypertension treatment; and felt satisfied with the study. Results There were 51 patients in the counseling group and 49 in the HBPM group. Of 46 patients in the HBPM group who returned their monitors, 36 (78%) were hypertensive at home. At 60 days post-surgery, 31 (61%) patients in the counseling group and 30 (61%) in the HBPM group were reached by telephone with the remaining followed by EHR. Thirty-six (71%) patients in the counseling group and 36 (73%) in the HBPM group had seen their primary care provider. Seventeen of 36 (47%) in the counseling group and 18 of 31 (58%) in the HBPM group received new or adjusted hypertension medications. Sixty-one participants answered questions regarding their satisfaction with the study with 52 (85%) reporting that they felt moderately to very satisfied. Conclusions This feasibility study suggests that interventional blood pressure trials in the preoperative clinic are feasible, but telephone follow-up leads to significant gaps in outcome ascertainment. Trial registration Clinicaltrials.gov, NCT03634813 . Registered 16 of August 2018.Sofia I. DiazLuying YanFeng DaiBin ZhouMatthew M. BurgRobert B. SchonbergerBMCarticlePreoperative blood pressure screeningHypertensionHome blood pressure monitoringSurgeryRD1-811ENPerioperative Medicine, Vol 10, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Preoperative blood pressure screening Hypertension Home blood pressure monitoring Surgery RD1-811
spellingShingle	Preoperative blood pressure screening Hypertension Home blood pressure monitoring Surgery RD1-811 Sofia I. Diaz Luying Yan Feng Dai Bin Zhou Matthew M. Burg Robert B. Schonberger Feasibility of a randomized hypertension screening initiative in the perioperative setting
description	Abstract Objectives This study sought to assess feasibility of a randomized trial of blood pressure intervention (home blood pressure monitoring vs. counseling) in the preoperative clinic and the baseline rates of primary care follow-up after such interventions. Methods A prospective randomized feasibility study was performed at Yale New Haven Hospital Preadmission Testing Clinic. A sample of 100 adults, with elevated blood pressure, were recruited during their preadmission visit, and randomized 1:1 to receive brief BP counseling and an educational brochure versus additionally receiving a home BP monitor (HBPM) with a mailed report of their home readings. At 60-day post-surgery telephone follow-up, investigators asked whether participants had primary-care follow-up; had new/adjusted hypertension treatment; and felt satisfied with the study. Results There were 51 patients in the counseling group and 49 in the HBPM group. Of 46 patients in the HBPM group who returned their monitors, 36 (78%) were hypertensive at home. At 60 days post-surgery, 31 (61%) patients in the counseling group and 30 (61%) in the HBPM group were reached by telephone with the remaining followed by EHR. Thirty-six (71%) patients in the counseling group and 36 (73%) in the HBPM group had seen their primary care provider. Seventeen of 36 (47%) in the counseling group and 18 of 31 (58%) in the HBPM group received new or adjusted hypertension medications. Sixty-one participants answered questions regarding their satisfaction with the study with 52 (85%) reporting that they felt moderately to very satisfied. Conclusions This feasibility study suggests that interventional blood pressure trials in the preoperative clinic are feasible, but telephone follow-up leads to significant gaps in outcome ascertainment. Trial registration Clinicaltrials.gov, NCT03634813 . Registered 16 of August 2018.
format	article
author	Sofia I. Diaz Luying Yan Feng Dai Bin Zhou Matthew M. Burg Robert B. Schonberger
author_facet	Sofia I. Diaz Luying Yan Feng Dai Bin Zhou Matthew M. Burg Robert B. Schonberger
author_sort	Sofia I. Diaz
title	Feasibility of a randomized hypertension screening initiative in the perioperative setting
title_short	Feasibility of a randomized hypertension screening initiative in the perioperative setting
title_full	Feasibility of a randomized hypertension screening initiative in the perioperative setting
title_fullStr	Feasibility of a randomized hypertension screening initiative in the perioperative setting
title_full_unstemmed	Feasibility of a randomized hypertension screening initiative in the perioperative setting
title_sort	feasibility of a randomized hypertension screening initiative in the perioperative setting
publisher	BMC
publishDate	2021
url	https://doaj.org/article/a5b8de56d5c541019dc92bb97fd60756
work_keys_str_mv	AT sofiaidiaz feasibilityofarandomizedhypertensionscreeninginitiativeintheperioperativesetting AT luyingyan feasibilityofarandomizedhypertensionscreeninginitiativeintheperioperativesetting AT fengdai feasibilityofarandomizedhypertensionscreeninginitiativeintheperioperativesetting AT binzhou feasibilityofarandomizedhypertensionscreeninginitiativeintheperioperativesetting AT matthewmburg feasibilityofarandomizedhypertensionscreeninginitiativeintheperioperativesetting AT robertbschonberger feasibilityofarandomizedhypertensionscreeninginitiativeintheperioperativesetting
_version_	1718407910185238528

Feasibility of a randomized hypertension screening initiative in the perioperative setting

Ejemplares similares