Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, District of Colombia 20008, USA.
Telemed J E Health. 2010 Sep;16(7):830-8. doi: 10.1089/tmj.2010.0015.
We searched five databases (PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest) from 1995 to September 2009 to collect evidence on the impact of blood pressure (BP) telemonitoring on BP control and other outcomes in telemonitoring studies targeting patients with hypertension as a primary diagnosis. Fifteen articles met our review criteria. We found that BP telemonitoring resulted in reduction of BP in all but two studies; systolic BP declined by 3.9 to 13.0 mm Hg and diastolic BP declined by 2.0 to 8.0 mm Hg across these studies. These magnitudes of effect are comparable to those observed in efficacy trials of some antihypertensive drugs. Although BP control was the primary outcome of these studies, some included secondary outcomes such as healthcare utilization and cost. Evidence of the benefits of BP telemonitoring on these secondary outcomes is less robust. Compliance with BP telemonitoring among patients was favorable, but compliance among participating healthcare providers was not well documented. The potential role of BP telemonitoring in the reduction of BP is discussed and suggestions on priority populations that can benefit from this technology are presented.
我们从 1995 年到 2009 年 9 月检索了五个数据库（PubMed、CINAHL、PsycINFO、EMBASE 和 ProQuest），以收集有关血压远程监测对以高血压为主要诊断的患者的血压控制和其他结果的影响的证据。有 15 篇文章符合我们的审查标准。我们发现，除了两项研究外，血压远程监测均能降低血压；这些研究中收缩压下降 3.9 至 13.0mmHg，舒张压下降 2.0 至 8.0mmHg。这些效果的幅度与一些降压药物的疗效试验中观察到的相当。尽管血压控制是这些研究的主要结果，但有些研究包括次要结果，如医疗保健的利用和成本。关于血压远程监测对这些次要结果的益处的证据不太充分。患者对血压远程监测的依从性良好，但参与医疗保健提供者的依从性记录不佳。讨论了血压远程监测在降低血压方面的潜在作用，并提出了可以从这项技术中受益的优先人群的建议。
