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Postpartum remote blood pressure monitoring programs for patients with hypertensive disorders of pregnancy (HDP) are becoming part of standard postpartum management. Existing programs range in duration from 2 to 6 weeks but there has not been any evaluation as to what program duration is optimal. The primary objective of this study is to evaluate the impact of program duration on clinical outcomes for patients participating in a single institution's postpartum remote blood pressure monitoring program for patients with HDP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2-Week Arm | Active Comparator | Participants randomized into the 2 week arm will be immediately unenrolled from the postpartum remote blood pressure monitoring program and resume standard postpartum care |
|
| 6-Week Arm | Active Comparator | Patients randomized into the 6 week arm will continue and complete the program in its entirety per current SOC (4 additional weeks) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 2-Week Home Monitoring | Diagnostic Test | Those who are randomized into the 2-week intervention arm will be unenrolled from the postpartum remote blood pressure monitoring program and therefore will no longer be transmitting twice daily blood pressures for review. |
| Measure | Description | Time Frame |
|---|---|---|
| Diastolic Blood Pressure | The primary outcome will be the patient's diastolic blood pressure (DBP) at their 6-week postpartum visit. | Week 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic Blood Pressure at 6 weeks post-partum | Patient's systolic blood pressure at their 6-week postpartum visit | Week 6 |
| 6-Week Post-partum Follow-up Rates | Participants who complete a 6-week post-partum visit / Total participants eligible for a 6-week post-partum visit |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Erin Linden | Contact | 612-625-2273 | linde491@umn.edu |
| Name | Affiliation | Role |
|---|---|---|
| Bethany Sabol, MD MAS | University of Minnesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Minnesota | Recruiting | Minneapolis | Minnesota | 55455 | United States |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D014115 | Toxemia |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D007239 | Infections |
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| 6-Week Home Monitoring | Diagnostic Test | HOPE-BP provides remote monitoring for the 35% of approximately 2,800 annual births at our institution complicated by HDP. Eligible patients enroll at hospital discharge into a 6-week program, submitting blood pressure readings twice daily via Epic's MyChart Care Companion. Participants receive immediate automated feedback, and a dedicated Maternal Fetal Medicine nursing team reviews data daily (Monday-Friday, 8 AM-4 PM), initiating or adjusting antihypertensive therapy as needed. |
|
| Week 6 |
| Unscheduled OB visit, triage visit, ED visit, or readmission rates | Week 6 |
| Patient Satisfaction Survey responses at 6 weeks | PSS Score, where higher score indicates greater satisfaction | Week 6 |
| Rate of severe hypertension | defined as systolic blood pressure ≥ 160mmHg and/or DBP ≥ 110 mmHg | Week 6 |
| Rate of new hypertension diagnosis at 6 weeks postpartum | based on American Heart Association and American College of Cardiology criteria (AHA/ACC) | Week 6 |