Study of Elevated Blood Pressure Detected During Hospital Stay Assessing New or Uncontrolled Hypertension and Treatment Timing After Discharge

What this Trial Is About

This trial studies the occurrence of new or uncontrolled high blood pressure hypertension after hospital discharge in patients who had elevated blood pressure during their stay in a medical ward. It aims to find out if high blood pressure measured in the hospital reflects a real ongoing condition after discharge and whether it is safe to delay changes in blood pressure treatment until after discharge and proper evaluation. Participants are randomly assigned to one of two groups one group receives treatment based on their physicians decision during hospitalization, while the other group postpones any changes to their blood pressure medication until after a 24-hour ambulatory blood pressure measurement taken 4 weeks after leaving the hospital. This approach allows comparison between usual care and delayed treatment adjustment. During the study, participants will have blood pressure measured at baseline and will be monitored for complications related to high or low blood pressure up to 4 weeks after discharge. Researchers will assess the prevalence of ongoing hypertension, hospital readmissions, and safety of postponing treatment changes. The total monitoring period covers the hospitalization and the four weeks following discharge.

In-Hospital Detection of Elevated Blood Pressure