Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies

RWTH Aachen University

Status: Completed

Conditions: Hypertensive Emergency; Hypertensive Urgency

Treatments: Other: Telemedical care

Study type: Observational

Funder types: Other

Identifiers

NCT02924805

TECH

Details and patient eligibility

About

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.

Full 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).

Enrollment: 331 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

331 participants in 2 patient groups

Telemedicine group

Description:

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.

Treatment:

Other: Telemedical care

Control group

Description:

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).