Department of Obstetrics and Gynecology, University Medical Center Utrecht, Utrecht University, the Netherlands.
Department of Obstetrics and Gynecology, University Medical Center Utrecht, Utrecht University, the Netherlands.
Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:226-231. doi: 10.1016/j.ejogrb.2019.07.012. Epub 2019 Jul 15.
To study the feasibility of a telemonitoring platform for hypertensive disease in pregnancy, consisting of a wireless blood pressure monitor and an app in combination with an integrated preeclampsia symptom checklist.
Prospective observational study with 14 pregnant women during a 15 weekday study period. For feasibility purposes, compliance was measured by evaluating the number of entered BP and symptom checklists. Comparing all the entered values with the threshold values checked the accuracy of the automatic alerts. Usability and patient satisfaction were measured using questionnaires.
Compliance rates for blood pressure and symptom checklist were 93% and 85% respectively. No false positive or missing alerts were found in the alarm system. The telemonitoring system alarmed 7 times for BP thresholds (3.8% of all received values), Of 167 returned symptom checklists, 93% of symptom alarms could be handled with expectant management because of concurrent normal blood pressure. The majority of participants were satisfied with the system.
This is the first feasibility study of a telemonitoring platform, combining remote monitoring of BP with preeclampsia symptoms in pregnancy care. Action from health care providers during telemonitoring is only needed in case of alarming combinations of results. This system is potentially very useful in care for women at risk for hypertensive disorders during pregnancy.
研究一种由无线血压计和应用程序与综合先兆子痫症状清单相结合的妊娠高血压疾病远程监测平台的可行性。
前瞻性观察研究，在 15 个工作日的研究期间纳入 14 名孕妇。为了评估可行性，通过评估输入的血压和症状检查表的数量来衡量依从性。将所有输入值与检查的阈值进行比较，以检查自动警报的准确性。使用问卷测量可用性和患者满意度。
血压和症状检查表的依从率分别为 93%和 85%。在报警系统中未发现假阳性或漏报。远程监测系统因血压阈值报警 7 次（占所有接收值的 3.8%）。在返回的 167 份症状检查表中，由于同时血压正常，93%的症状警报可以通过期待治疗来处理。大多数参与者对该系统表示满意。
这是第一项远程监测平台的可行性研究，将远程监测血压与妊娠期间先兆子痫症状相结合。在远程监测期间，只有在结果出现警报组合时才需要医疗保健提供者采取行动。该系统在妊娠期间高血压疾病高危妇女的护理中具有潜在的巨大作用。
