Evidence map›Paper›PMID 32743119›Full record

ArticleContemporary clinical trials communications2020

Efficacy of enhanced emergency department discharge for chronic hypertension management - Results of a randomized controlled trial.

Julie Gleason Comstock, James Janisse, Alicia Streater, Aaron Brody, Allen Goodman, Liying Zhang, LynnMarie Mango, Rachelle Dawood, William Costello, Shayla Patton and 4 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02069015 (Achieving Blood Pressure Control Through Enhanced Discharge), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02069015 nacompletednot on this map

Achieving Blood Pressure Control Through Enhanced Discharge

TypeinterventionalSponsorWayne State UniversityRan2013 to 2016Enrolled139ConditionsHypertensionArmsPatient education
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Julie Gleason ComstockDepartment of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.
James JanisseDepartment of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.
Alicia StreaterCenter for Urban Studies, Wayne State University, 700 Cass Ave, Detroit, MI, 48202, USA.
Aaron BrodyDepartment of Emergency Medicine, School of Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48202, USA.
Allen GoodmanDepartment of Economics, Wayne State University 656 Kirby St, 2074 FAB, Detroit, MI, 48202, USA.
Liying ZhangDepartment of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.
LynnMarie MangoWayne State University Integrative Biosciences Center (iBIO), 6135 Woodward Ave, Detroit, MI, 48202, USA.
Rachelle DawoodWayne State University Integrative Biosciences Center (iBIO), 6135 Woodward Ave, Detroit, MI, 48202, USA.
William CostelloDepartment of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.
Shayla PattonDepartment of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.
Aniruddha ParanjpeDepartment of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.
Connor WelshMichigan State University College of Human Medicine, Secchia Center, 15 Michigan St NE, Grand Rapids, MI, 49503, USA.
Robert WelchCardiovascular Research Institute, School of Medicine, Wayne State University, 421 E Canfield St. Detroit, MI 48201, USA.
Phillip LevyCardiovascular Research Institute, School of Medicine, Wayne State University, 421 E Canfield St. Detroit, MI 48201, USA.
Wayne State University · USWoodward (United States) · USMichigan State University · USWestern Michigan University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAchieve

methodsParticipants were recruited from a single, urban ED and randomized to receive or not to receive hypertension education. To minimize potential bias, participants were all started on an evidence-based anti-hypertensive regimen and medications were dispensed directly to participants by the study team. Bivariate analysis was performed to examine differences in sociodemographic characteristics between patients achieving BP control and those who did not. Paired

resultsOne hundred and thirty-nine participants were randomized into the study. All were African-American with a mean age of 47.6 (SD = 10.8) years; 51% were male, 63% had smoked cigarettes and 15% had diabetes. A total of 66 patients completed the study (47.4%), 44 of whom (67%) achieved BP control. However, there was no difference in BP reduction or control between the two groups. Age and smoking status showed moderation effects on intervention efficacy.

conclusionDespite a neutral effect of our intervention, a high level of BP control was achieved overall, suggesting that the ED may be a viable location for efforts aimed at reducing the impact of chronic hypertension in predominantly African American communities.

Indexed as

Emergency medicineHypertensionPatient educationPublic healthRandomizedRandomized controlled trial

Identifiers

PMID32743119
PMCPMC7387778
OpenAlexW3042811334

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.