Pharmacist-led rapid medication titration for hypertension management by telehealth: A quality improvement initiative.
Pharmacist-led rapid medication titration for hypertension management by telehealth: A quality improvement initiative.
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药剂师主导的远程医疗高血压管理快速药物滴定：一项质量改进举措。
DOI：
10.1111/jch.14750
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Juraschek,StephenP
中科院分区：
文献类型：
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作者：
Ishak,AnthonyM;Mukamal,KennethJ;Wood,JuliaM;Vyavahare,Medha;Cluett,JenniferL;Juraschek,StephenP
高血压指南建议以团队为基础的护理来治疗高血压（BP）。临床药师可以帮助患者通过快速药物滴定结合远程医疗访问达到目标血压。我们于2020年6月至2021年9月进行了一项由药剂师主导的家庭血压监测试点计划。42例使用≤2种降压药物但SBP ≥140的患者被转诊至药剂师远程医疗，加速药物滴定，以实现BP <130/80的目标。平均入组SBP/DBP为155.2（SD，15.8）/89.7（SD，11.5）mmHg，平均完成SBP/DBP为132.1（SD，10.9）/77.6（SD，10）。处方的高血压药物数量从1.3种增加到1.6种，无福尔斯或低血压病例。完成时，31%的患者具有自动办公室血压（AOBP），SBP <130 mm Hg，DBP <80 mm Hg。一个由药剂师领导的家庭BP监测远程医疗试点计划帮助患者安全地实现BP目标。
Hypertension guidelines recommend team‐based care for the treatment of high blood pressure (BP). Clinical pharmacists can help patients get to goal BP with rapid medication titration in conjunction with telehealth visits. We conducted a pharmacist‐led home BP monitoring pilot program from June 2020 to September 2021. Forty‐two patients with a SBP ≥140 despite using ≤2 antihypertensive medications were referred for pharmacist telehealth with expedited medication titration to achieve a BP goal <130/80. The mean enrollment SBP/DBP was 155.2 (SD, 15.8)/89.7 (SD, 11.5) mm Hg, and the mean completion SBP/DBP was 132.1 (SD, 10.9)/77.6 (SD, 10). The number of hypertension medications prescribed increased from 1.3 to 1.6 with no instances of falls or hypotension. At completion, 31% of patients had an automated office blood pressure (AOBP) with SBP <130 mm Hg and DBP <80 mm Hg. A pharmacist‐led, home BP monitoring telehealth pilot program helped patients safely achieve BP goals.