Clinical Decision Support Tool for the Treatment of Uncontrolled Hypertension

N/ANot Yet RecruitingNCT07218198

The Cleveland Clinic168 enrolled

Overview

The goal of this clinical trial is to study whether having a clinical decision support (CDS) tool available to clinician use will more effectively lower BP 4 weeks after an outpatient visit compared with usual care. The main objective is to assess the impact of the CDS tool, that is embedded with the electronic medical record (EMR), that is available during outpatient clinical encounters, on blood pressure (BP) changes among participants with uncontrolled hypertension. Participants will: Visit the clinic 4 weeks, after their initial clinician visit, for a BP check.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

168

Conditions

Hypertension Hypertension (HTN)Blood Pressure, High Blood Pressure Control

Standard medical treatmentOTHER

Clinicians will use their own standard of care recommendations for combinations of medications.

Clinical Decision Support ToolOTHER

Clinical Decision Support Tool embedded into the Electronic Medical Record to help support clinicians to prescribe more effective combinations of medications

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Men and women 18 years of age or older 2. Electronic Health Record (EHR) of hypertension AND prescribed at least one BP lowering medication 3. Office systolic BP of 130 mmHg or higher 4. Willing and able to comply with the study instructions AND attend a scheduled study visit Exclusion Criteria: 1. Women who are pregnant, plan to become pregnant, or are breast-feeding 2. Know heart failure with reduced ejection fraction and a left ventricular ejection fraction of less than 40% 3. End-stage kidney disease currently undergoing renal replacement therapy, or an eGFR \< 15ml/min/1.73m2 4. In the opinion of the investigator, any other condition that will preclude participation in the study

Outcomes

Primary Outcomes

Change in systolic automated office blood pressure (AOBP)

Clinical Decision Support (CDS) Tool is available, Change from baseline in systolic automated office blood pressure (AOBP) at 4 weeks.

Time frame: 4 weeks

Secondary Outcomes

Change in diastolic automated office blood pressure (AOBP)

Percentage of Participants with controlled BP (\<130mmHg), Change from baseline in diastolic automated office blood pressure (AOBP) at 4 weeks.