Clinical Trial: Postpartum Hypertension: Remote Patient Monitoring

Study Status: Not yet recruiting
Recruit Status: Not yet recruiting
Study Type: Interventional

Official Title: Remote Patient Monitoring- Telehealth for Management of Women With Postpartum Hypertension

Brief Summary: The purpose of this study is to see if Honeywell Genesis Android Touch Bluetooth System (mobile health) can improve patient satisfaction and quality of care provided to women experiencing complications due to high blood pressure during pregnancy.

Detailed Summary: For six weeks postpartum, patients will use Honeywell Genesis Android Touch Bluetooth System to record and submit their daily blood pressure and weight measurements to a mobile health nurse and research team. Subjects will be provided with the kit (Honeywell tablet, mobile hot spot, blood pressure cuff, and scale) at no cost. Subjects will participate in video telehealth visits at 48 hours and 7 days after discharge to help provide management for hypertension related issues.
Sponsor: University of Wisconsin, Madison

Current Primary Outcome: Is remote patient monitoring program an effective model of care to improve patient satisfaction regarding management of postpartum hypertension? [ Time Frame: Up to 12 months ]

Conduct an initial phase study for postpartum women at risk for severe hypertension to estimate the rates of willingness to participate in and utilize remote mobile health applications to monitor home blood pressures and weights, medication adherence after hospital discharge, to inform a trial to decrease postpartum maternal morbidity and readmission.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Cost effective analysis on remote patient monitoring for postpartum hypertension. [ Time Frame: Up to 12 months ]
    Perform a cost effectiveness modeling will be performed to determine whether it is costeffective to use remote patient modeling for women with postpartum hypertension in comparison to standard outpatient care in women with hypertension-related disorders of pregnancy. Primary outcomes examined will include cost and readmissions.
  • Maternal outcomes in remote patient monitoring vs standard surveillance. [ Time Frame: Up to 12 months ]
    Compare the maternal outcomes in the cohort utilizing remote patient monitoring to the cohort of patients with hypertension related disorders discharged with routine care. Outcomes of interest: Incidence of severe hypertension (SBP >150/DBP >105), hospital readmission, initiation of antihypertensive medication, unexpected outpatient clinic/emergency room visit, compliance with medications, compliance with outpatient blood pressure surveillance or scheduled visits, death, stroke.
  • Difference in blood pressures intrapartum and postpartum. [ Time Frame: Up to 12 months ]
    Estimate standard deviations of systolic blood pressure (mmHg) and diastolic blood pressure (mmHg) in the intrapartum compared to 24-96 hours postpartum


Original Secondary Outcome: Same as current

Information By: University of Wisconsin, Madison

Dates:
Date Received: March 24, 2017
Date Started: April 10, 2017
Date Completion: March 31, 2019
Last Updated: April 5, 2017
Last Verified: March 2017