Trial reportJournal of clinical hypertension (Greenwich, Conn.)2017
Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.
Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers.
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.
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.
Implementation Strategy From Research to Routine Care of a Comprehensive Prehospital Telemedicine System and Pre-post Analysis of Systemic Effects
Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies in Low Resource Settings (FEAMER) Trial
Who cites it
21 citing papers in PubMed, 48 citations in OpenAlex.
- Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial.Critical care (London, England) · 2023Trial
- Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.Journal of clinical hypertension (Greenwich, Conn.) · 2017Trial
- Three years of tele-emergency medicine with mobile on-site audio-video streaming in lower Saxony, Germany - descriptive results of a longitudinal secondary data analysis.BMC emergency medicine · 2025Article
- Telemedicine for prehospital respiratory emergencies in a retrospective quality analysis.Scientific reports · 2025Article
- Comparing effects and application of telemedicine for different specialties in emergency medicine using the Emergency Talk Application (U-Sim ETA Trial).Scientific reports · 2023Article
- [Update tele-emergency medicine : Status quo and perspectives].Die Anaesthesiologie · 2023Review
- Introduction of Telemedicine in a Prehospital Emergency Care Setting: A Pilot Study.International journal of telemedicine and applications · 2023Article
- Immobilization in Emergency Medical Service - Are CSR and NEXUS-Criteria Considered? A Matched-Pairs Analysis Between Trauma Patients Treated by Onsite EMS Physicians and Patients Treated by Tele-EMS Physicians.Open access emergency medicine : OAEM · 2023Article
- Kidney Involvement in Systemic Sclerosis.Journal of personalized medicine · 2022Review
- Renal disorders in rheumatologic diseases: the spectrum is changing (Part 1: connective tissue diseases).Journal of nephrology · 2021Review
- Tele-EMS physicians improve life-threatening conditions during prehospital emergency missions.Scientific reports · 2021Article
- Article
- Hypertensive Emergencies in the Ambulance: Characteristics, Clinical Presentations and Complications - A Prospective Cohort Study.Open access emergency medicine : OAEM · 2021Article
- [When emergency physician and tele-emergency physician save life together : A case description on the application of prehospital telemedicine for ventricular tachycardia with hemodynamic instability].Der Anaesthesist · 2021Article
- Hypertensive emergency and seizures in a 30-year-old man with anti-glomerular basement membrane disease.Clinical case reports · 2020Article
- Evaluation of a Rural Emergency Medical Service Project in Germany: Protocol for a Multimethod and Multiperspective Longitudinal Analysis.JMIR research protocols · 2020Article
- Hypertensive Crisis in Pediatric Patients: An Overview.Frontiers in pediatrics · 2020Review
- Utilization, Safety, and Technical Performance of a Telemedicine System for Prehospital Emergency Care: Observational Study.Journal of medical Internet research · 2019Observational
- [Tele-emergency physician : New care concept in emergency medicine].Der Unfallchirurg · 2019Review
- Modern management of hypertensive emergencies and urgencies: Do we need more technology, paramedics, or physicians?Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
Indexed as
Identifiers
What Socratic holds
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 Socratic graph.