Blood pressure outcomes at 18 months in primary care patients prescribed remote physiological monitoring for hypertension: a prospective cohort study

IF 2.7 4区 医学 Q2 PERIPHERAL VASCULAR DISEASE Journal of Human Hypertension Pub Date : 2024-03-06 DOI:10.1038/s41371-024-00904-7
Stephen D. Persell, Lauren Anthony, Yaw A. Peprah, Ji Young Lee, Jim Li, Hironori Sato, Lucia C. Petito
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Abstract

This pragmatic matched cohort study using EHR data extended the follow up to 18 months for BP outcomes comparing individuals prescribed remote patient monitoring (n = 288) and temporally-matched controls (n = 1152) from six primary care practices. After 18 months, the RPM-prescribed cohort had greater BP control < 140/90 mm Hg (RPM cohort: 71.5%, control cohort: 51.9%, p < 0.001) and lower systolic BP (131.6 versus 136.0 mm Hg, p = 0.004) using office and home measurements. BP control at 18 months assessed by office measurements only was also higher in the RPM group (62.2% versus 51.9%, p = 0.004).
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前瞻性队列研究:远程生理监测治疗高血压的初级保健患者 18 个月后的血压结果。
这项实用的匹配队列研究利用电子病历数据将血压结果的随访时间延长至 18 个月,比较了来自六家初级保健机构的开具远程患者监测处方者(288 人)和时间上匹配的对照者(1152 人)。18 个月后,开具远程患者监测处方的人群血压控制得更好
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来源期刊
Journal of Human Hypertension
Journal of Human Hypertension 医学-外周血管病
CiteScore
5.20
自引率
3.70%
发文量
126
审稿时长
6-12 weeks
期刊介绍: Journal of Human Hypertension is published monthly and is of interest to health care professionals who deal with hypertension (specialists, internists, primary care physicians) and public health workers. We believe that our patients benefit from robust scientific data that are based on well conducted clinical trials. We also believe that basic sciences are the foundations on which we build our knowledge of clinical conditions and their management. Towards this end, although we are primarily a clinical based journal, we also welcome suitable basic sciences studies that promote our understanding of human hypertension. The journal aims to perform the dual role of increasing knowledge in the field of high blood pressure as well as improving the standard of care of patients. The editors will consider for publication all suitable papers dealing directly or indirectly with clinical aspects of hypertension, including but not limited to epidemiology, pathophysiology, therapeutics and basic sciences involving human subjects or tissues. We also consider papers from all specialties such as ophthalmology, cardiology, nephrology, obstetrics and stroke medicine that deal with the various aspects of hypertension and its complications.
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Investigation and management of resistant hypertension: British and Irish Hypertension Society position statement. Blood pressure measurement technique in clinical practice in the NHS Greater Glasgow and Clyde. "Clinical prediction model for masked hypertension diagnosed by 24-h ambulatory blood pressure measurements in a sample from specialized hospital." Preventing troublesome variability in clinical blood pressure measurement. U-shaped association between blood pressure and all-cause mortality in older adults: the Shizuoka study.
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