Blood pressure control during telemonitoring of home blood pressure. A randomized controlled trial during 6 months
Blood pressure control during telemonitoring of home blood pressure. A randomized controlled trial during 6 months
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DOI：
10.1080/08037050801915468
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发表时间：
2008-01-01
期刊：
影响因子：
1.8
通讯作者：
Pedersen, Erling Bjerregaard
中科院分区：
文献类型：
--
作者：
Madsen, Line Bille;Kirkegaard, Peder;Pedersen, Erling Bjerregaard
目的。比较基于家庭血压 (BP) 远程监测和办公室血压常规监测的降压治疗效果。方法。高血压患者 (n=5236) 参与了一项随机对照研究。在干预组中，抗高血压治疗基于家庭血压监测。血压读数由 PDA 记录并自动传输到服务器，患者和医生可以通过服务器进行交流。在对照组中，患者接受常规护理，并根据需要进行就诊以调整抗高血压治疗。主要结局是基线和 6 个月之间收缩压日间动态血压监测 (ABPM) 变化的差异。结果。在两组中，日间收缩压 ABPM 从基线到随访期间均显着下降。干预组白天收缩压 ABPM 下降为 -11.9 mmHg，对照组为 -9.6 mmHg（平均差 -22.3 [95% CI -6.1 至 -1.5]，p=0.225）。两组日间 ABPM 正常化的可能性相似 [32/113 (28%) vs 46/123 (37%)，p=0.139]。结论。在降低血压方面，基于家庭血压远程监测的抗高血压治疗与办公室血压常规监测一样有效。
Aim. To compare the effectiveness of antihypertensive treatment based on telemonitoring of home blood pressure (BP) and conventional monitoring of office BP. Methods. Hypertensive patients (n=5236) participated in a randomized, controlled study. In the intervention group, antihypertensive treatment was based on home BP monitoring. BP readings were registered by a PDA and automatically transmitted to a server, by which the patient and doctor could communicate. In the control group, patients received usual care with office visits to adjust antihypertensive treatment as needed. Primary outcome was difference in systolic daytime ambulatory BP monitoring (ABPM) change between baseline and 6 months. Results. In both groups, systolic daytime ABPM decreased significantly from baseline to follow-up. The decrease in systolic daytime ABPM was -11.9 mmHg in the intervention group and -9.6 mmHg in the control group (mean difference -22.3 [95% CI -6.1 to -1.5], p=0.225). The likelihood of daytime ABPM normalization was similar in the two groups [32/113 (28%) vs 46/123 (37%), p=0.139]. Conclusion. Antihypertensive treatment based on telemonitoring of home BP was as effective as usual monitoring of office BP with regards to reduction of BP.