Document Detail


Impact of blood pressure telemonitoring on hypertension outcomes: a literature review.
MedLine Citation:
PMID:  20815751     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Azza AbuDagga; Helaine E Resnick; Majd Alwan
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Telemedicine journal and e-health : the official journal of the American Telemedicine Association     Volume:  16     ISSN:  1556-3669     ISO Abbreviation:  Telemed J E Health     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959949     Medline TA:  Telemed J E Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  830-8     Citation Subset:  IM    
Affiliation:
Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, District of Colombia 20008, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure Monitors*
Databases, Factual
Diastole
District of Columbia
Female
Humans
Hypertension / prevention & control*
Male
Middle Aged
Systole
Telemedicine / methods,  organization & administration*
Treatment Outcome
United States
Grant Support
ID/Acronym/Agency:
HHSA2902006000241//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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