Smith Wesley, Colbert Brett M, Namouz Tariq, Caven Dean, Ewing Joseph A, Albano Andrew W
HealthSnap, Miami, FL 33136, USA.
Prisma Health Upstate, Greenville, SC 29605, USA.
Healthcare (Basel). 2024 Aug 9;12(16):1583. doi: 10.3390/healthcare12161583.
Hypertension (HTN) is a chronic condition that requires careful monitoring and management. Blood pressure readings in the clinic and self-reported blood pressure readings are often too intermittent to allow for careful management. Remote patient monitoring is a solution that may have positive impacts on HTN management. Individuals at cardiac and primary care clinics were prescribed a remote patient-monitoring (RPM) program. Patients were sent blood pressure monitors that were enabled to transmit data over cellular networks. We reviewed trends in HTN management retrospectively in patients who had previously been on conventional therapy for a year and participated in RPM for a minimum of 90 days. There were 6595 patients enrolled, and the mean duration on RPM was 289 days. A total of 4370 participants (66.3%) had uncontrolled HTN, and 2476 (37.5%) had stage 2 HTN. After at least 90 days on the RPM program, the number of patients with uncontrolled HTN reduced to 2648 (40.2%, < 0.01), and the number of patients with stage 2 HTN reduced to 1261 (19.1%, < 0.01). Systolic blood pressure improved by 7.3 mmHg for all patients and 16.7 mmHg for stage 2 HTN. There was improvement in mean arterial pressure (MAP) in all patients with uncontrolled HTN by 8.5 mmHg ( < 0.0001). RPM is associated with improved HTN control and provides further evidence supporting telehealth programs which can aid in chronic disease management.
高血压（HTN）是一种需要仔细监测和管理的慢性疾病。诊所的血压读数和自我报告的血压读数往往过于断断续续，无法进行仔细管理。远程患者监测是一种可能对高血压管理产生积极影响的解决方案。心脏科和初级保健诊所的患者被安排了远程患者监测（RPM）项目。给患者发送了能够通过蜂窝网络传输数据的血压监测仪。我们回顾性地研究了之前接受常规治疗一年且至少参与RPM 90天的患者的高血压管理趋势。共有6595名患者入组，RPM的平均时长为289天。共有4370名参与者（66.3%）患有未控制的高血压，2476名（37.5%）患有2期高血压。在RPM项目至少进行90天后，未控制高血压的患者人数降至2648名（40.2%，<0.01），2期高血压患者人数降至1261名（19.1%，<0.01）。所有患者的收缩压改善了7.3 mmHg，2期高血压患者的收缩压改善了16.7 mmHg。所有未控制高血压患者的平均动脉压（MAP）改善了8.5 mmHg（<0.0001）。RPM与改善高血压控制相关，并为支持可辅助慢性病管理的远程医疗项目提供了进一步的证据。
