Key result
Telemedically supported care led to less pronounced blood pressure reductions (35±24 vs 44±23 mm Hg; P=0.0006) and a tendency toward improved guideline adherence compared to conventional care.
Why the study?
Does telemedically supported out-of-hospital care improve blood pressure management and guideline adherence in patients with prehospital hypertensive emergencies and urgencies compared to conventional on-scene physician care?
Cohort (n=331)
No
Does telemedically supported out-of-hospital care improve blood pressure management and guideline adherence in patients with prehospital hypertensive emergencies and urgencies compared to conventional on-scene physician care?
Telemedically guided antihypertensive care leads to less pronounced, more guideline-adherent blood pressure reductions in prehospital hypertensive emergencies compared to conventional on-scene physician care.
Telemedical support was associated with smaller BP reductions and possibly better adherence in prehospital hypertension; leaves open effects on outcomes.
Prehospital hypertensive emergencies and urgencies are common, but evidence is lacking. Telemedically supported hypertensive emergencies and urgencies were prospectively collected (April 2014-March 2015) and compared retrospectively with a historical control group of on-scene physician care in the emergency medical service of Aachen, Germany. Blood pressure management and guideline adherence were evaluated. Telemedical (n=159) vs conventional (n=172) cases: blood pressure reductions of 35±24 mm Hg vs 44±23 mm Hg revealed a group effect adjusted for baseline differences (P=.0006). Blood pressure management in categories: no reduction 6 vs 0 (P=.0121); reduction ≤25% (recommended range) 113 vs 110 patients (P=.2356); reduction >25% to 30% 13 vs 29 (0.020); reduction >30% 12 vs 16 patients (P=.5608). The telemedical approach led to less pronounced blood pressure reductions and a tendency to improved guideline adherence. Telemedically guided antihypertensive care may be an alternative to conventional care especially for potentially underserved areas.
No takes yet. Share an insight, caveat, or question.
Brokmann et al. (2017) conducted a cohort in Prehospital hypertensive emergencies and urgencies (n=331). Telemedically supported care vs. Conventional on-scene physician care was evaluated on Blood pressure reduction (mm Hg) (p=0.0006). Telemedically supported care led to less pronounced blood pressure reductions (35±24 vs 44±23 mm Hg; P=0.0006) and a tendency toward improved guideline adherence compared to conventional care.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: