Effect of Home Blood Pressure Telemonitoring Plus Additional Support on Blood Pressure Control: A Randomized Clinical Trial

Wenwen Meng1#, Yongyi Bai2,3#, Wei Zheng4, Qiang Zeng5, Yansong Zheng5, Lin Zha1, Hongying Pi3,6* and Xiaoyong Sai7*

1The Northern Medical District, Chinese PLA General Hospital, China
2Department of Cardiovascular, The Second Medical Center, Chinese PLA General Hospital, China
3National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, China
4Department of Anesthesiology, The 80th Army Hospital of Chinese PLA, China
5Health Management and Research Institute, Chinese PLA General Hospital, China
6Department of Nursing, Chinese PLA General Hospital, China
7Department of Epidemiology and Statistics, The Graduate School of the Chinese PLA General Hospital, China
#These authors contributed equally to this work

^*Correspondance to: Xiaoyong Sai 

 PDF  Full Text DOI: 10.25107/2474-1647.3556

Abstract

Objective: The current clinical evidence for effects of Home Blood Pressure Telemonitoring (HBPT) on improving blood pressure control comes entirely from developed countries. Thus, we performed this randomized controlled trial to evaluate whether HBPT plus support (patient education and clinician remote hypertension management), better improves blood pressure control than Usual Care (UC) in Chinese population. Methods: We recruited 190 patients randomized to HBPT plus support or UC groups for 12 weeks. The primary end points were blood pressure reduction and proportion of patients achieving the target blood pressure. Results: Totally, 172 patients completed the study. Patients in plus support group attained greater reduction of mean ambulatory blood pressure than those in UC group. The plus support group had a significantly higher proportion of patients who achieved the target blood pressure and maintained the dipper blood pressure pattern at the 12th week of follow-up. Additionally, the patients in plus support group showed lower blood pressure variability and higher drug adherence than those in UC group. Conclusion: HBPT plus additional support results in greater blood pressure reductions, better blood pressure control, and higher proportion of dipper blood pressure pattern, lower blood pressure variability, and higher drug adherence than UC.

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Cite the article

Meng W, Bai Y, Zheng W, Zeng Q, Zheng Y, Zha L, et al. Effect of Home Blood Pressure Telemonitoring Plus Additional Support on Blood Pressure Control: A Randomized Clinical Trial. Clin Surg. 2022; 7: 3556..