NCT07539597NARecruiting

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

Icahn School of Medicine at Mount Sinai

Start Date

2/12/2026

Completion Date

7/31/2026

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 Criteria

Age Range: 18 years to No maximum

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.

Interventions

BEHAVIORAL

Community Health Worker engagement

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Conditions

Asymptomatic Hypertension

Locations

Icahn School of Medicine at Mount Sinai

New York, New York 10029

United States