Saafi Meniar, Bel Haj Ali Khaoula, Dhaoui Randa, Toumia Marwa, Sassi Sarra, Bendaya Yosra, Bouchoucha Mohamed, Hafaeidh Sonia Ben, Trabelsi Imen, Sekma Adel, Bakir Arij, Jaballah Rahma, Yaakoubi Hajer, Youssef Rym, Zorgati Asma, Beltaief Kaouthar, Mezgar Zied, Khrouf Mariem, Sghaier Amira, Jerbi Nahla, Razgallah Rabie, Bouida Wahid, Grissa Mohamed Habib, Saad Jamel, Boubaker Hamdi, Dridi Zohra, Boukef Riadh, Msolli Mohamed Amine, Nouira Semir
Research Laboratory LR12SP18, Monastir University, Monastir, Tunisia.
Emergency Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Hypertens Res. 2025 Mar;48(3):1135-1143. doi: 10.1038/s41440-024-02018-6. Epub 2024 Dec 18.
The Horoscope trial aimed to assess the efficacy of home blood pressure (BP) telemonitoring (TLM) in controlling BP reduction in hypertensive patients compared with usual care. This is a multi-center, prospective randomized, parallel-group trial comparing TLM with usual care during a period of 6 months in patients with hypertension. We included 525 patients randomly assigned in a 1-1 ratio to telemonitoring (TLM group; n = 260) or usual care (control group; n = 265). After 6 months of follow up, mean values of 24-h systolic and diastolic blood pressure decreased in both TLM and control groups. The mean decrease was significantly greater in the TLM group vs control group (-3.29 mmHg Vs -1.19; p = 0.009) and (-2.9 mmHg Vs, -0.07; p = 0.002) for systolic and diastolic blood pressure, respectively. This study shows that TLM results in significant BP reduction compared to usual care in a Tunisian population of patients with hypertension. Our findings highlight the importance of integrating telemedicine in the management of hypertensive patients; it has the potential to improve the quality of the delivered care and to prevent cardiovascular consequences of uncontrolled BP.
星座试验旨在评估家庭血压远程监测（TLM）与常规护理相比，在控制高血压患者血压降低方面的疗效。这是一项多中心、前瞻性随机平行组试验，在6个月的时间里，将高血压患者的TLM与常规护理进行比较。我们纳入了525例患者，以1:1的比例随机分配至远程监测组（TLM组；n = 260）或常规护理组（对照组；n = 265）。经过6个月的随访，TLM组和对照组的24小时收缩压和舒张压平均值均有所下降。TLM组收缩压和舒张压的平均下降幅度分别显著大于对照组（-3.29 mmHg对-1.19；p = 0.009）和（-2.9 mmHg对-0.07；p = 0.002）。这项研究表明，在突尼斯高血压患者群体中，与常规护理相比，TLM可显著降低血压。我们的研究结果强调了将远程医疗纳入高血压患者管理的重要性；它有可能提高所提供护理的质量，并预防血压控制不佳带来的心血管后果。
