Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies
Study Details
Study Description
Brief Summary
Comparison of telemedical prehospital emergency care and conventional on-scene physician based care of hypertensive emergencies and urgencies. The adherence to current Guidelines should be researched.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Telemedically guided cases of hypertensive emergencies (april 2014 - March 2015) and urgencies are compared with a historical control group of conventional emergency medical service physician care on-scene for these scenarios. The historical control group is a time period prior to implementation of the telemedicine system and after a research project with a precursor telemedicine system. No telemedical support but only conventional on-scene EMS physician care was available (November 2013 - March 2014).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Telemedicine group Cases of hypertensive emergencies and urgencies in which the prehospital emergency care was performed by on-scene paramedics, guided by a qualified physician in a teleconsultation center. |
Other: Telemedical care
Telemedically guided care based on a standard operating procedure
|
| Control group Historical cases of of hypertensive emergencies and urgencies in which the prehospital emergency care was carried out by on-scene emergency medical service physicians (conventional care). |
Outcome Measures
Primary Outcome Measures
- Blood pressure difference between initial contact and emergency room handover [2 hours]
Secondary Outcome Measures
- Difference of heart rate between initial contact and emergency room handover [2 hours]
- Magnitude of blood pressure reduction using categories [2 hours]
To measure guideline adherence blood pressure (BP) reductions were evaluated with four categories: no BP reduction, reduction <= 25%, reduction >25-30%, reduction > 30% (BP difference between initial contact and emergency room handover)
Other Outcome Measures
- Analysis of administered antihypertensive agents [2 hours]
- context specific quality of medical history and documentation [2 hours]
Analysis of medical history and vital parameter documentation completeness
Eligibility Criteria
Criteria
Inclusion Criteria:
- prehospital diagnosis of hypertensive emergency of hypertensive urgency
Exclusion Criteria:
Prehospital diagnoses of:
-
pulmonary edema
-
aortic dissection
-
acute coronary syndrome
-
acute stroke
-
acute respiratory insufficiency
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University Hospital Aachen | Aachen | Germany | 52074 |
Sponsors and Collaborators
- RWTH Aachen University
Investigators
- Principal Investigator: Jörg Ch Brokmann, Dr. med., University Hospital Aachen, Germany
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- TECH