Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations

ID#: NCT07539597

Age: 18 years - 66+

Gender: All

Healthy Subjects: No

Study Phase: N/A

Recruitment Status: Recruiting

Start Date: February 12, 2026

End Date: July 31, 2026

Contact Information:
Cindy Clesca
212-824-8057
Summary: This single-center, single-arm quasi-experimental study will assess the feasibility and acceptability of a community health worker (CHW)-led intervention to address social determinants of health (SDOH) among emergency department patients with hypertension. At enrollment, participants (N=15) will complete standardized SDOH surveys in REDCap, and CHWs will facilitate referrals to local community-based organizations that address identified social needs. With participant consent, the study will also include medical record review through EPIC and Healthix to evaluate healthcare utilization-including emergency department visits, hospitalizations, and outpatient encounters-during the one-year period before and after the index ED visit.
Eligibility:

Inclusion Criteria:

- 18 years and older who reside in the 5 boroughs of NYC,

- whom speak English or Spanish,

- have a known diagnosis of hypertension, and

- have uncontrolled hypertension, defined as two measures of systolic blood pressure (SBP) ≥140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg obtained during their ED visit.

Exclusion Criteria:

- Patients who are unable to consent,

- pregnant patients,

- patients with a history of end stage renal disease, a history of heart failure or a BMI of greater than 50.