دورية أكاديمية
Home Blood Pressure Telemonitoring Technology for Patients With Asymptomatic Elevated Blood Pressure Discharged From the Emergency Department: Pilot Study
| العنوان: | Home Blood Pressure Telemonitoring Technology for Patients With Asymptomatic Elevated Blood Pressure Discharged From the Emergency Department: Pilot Study |
|---|---|
| المؤلفون: | Tran, Karen C, Mak, Meagan, Kuyper, Laura M, Bittman, Jesse, Mangat, Birinder, Lindsay, Heather, Kim Sing, Chad, Xu, Liang, Wong, Hubert, Dawes, Martin, Khan, Nadia, Ho, Kendall |
| المصدر: | Journal Articles |
| بيانات النشر: | DigitalCommons@TMC |
| سنة النشر: | 2024 |
| المجموعة: | Houston Academy of Medicine-Texas Medical Center (HAM-TMC): DigitalCommons@The Texas Medical Center |
| مصطلحات موضوعية: | hypertension, remote-home monitoring, feasibility study, health monitor, telehealth, pilot study, mobile phone, monitoring, telemonitoring, blood pressure, emergency department, morbidity, mortality, primary care, physician care, management, Emergency Medicine, Health Information Technology, Internal Medicine, Medical Specialties, Medicine and Health Sciences, Radiology |
| الوصف: | BACKGROUND: Hypertension affects 1 in 5 Canadians and is the leading cause of morbidity and mortality globally. Hypertension control is declining due to multiple factors including lack of access to primary care. Consequently, patients with hypertension frequently visit the emergency department (ED) due to high blood pressure (BP). Telehealth for Emergency-Community Continuity of Care Connectivity via Home-Telemonitoring Blood Pressure is a pilot project that implements and evaluates a comprehensive home blood pressure telemonitoring (HBPT) and physician case management protocol designed as a postdischarge management strategy to support patients with asymptomatic elevated BP as they transition from the ED to home. OBJECTIVE: Our objective was to conduct a feasibility study of an HBPT program for patients with asymptomatic elevated BP discharged from the ED. METHODS: Patients discharged from an urban, tertiary care hospital ED with asymptomatic elevated BP were recruited in Vancouver, British Columbia, Canada, and provided with HBPT technology for 3 months of monitoring post discharge and referred to specialist hypertension clinics. Participants monitored their BP twice in the morning and evenings and tele-transmitted readings via Bluetooth Sensor each day using an app. A monitoring clinician received these data and monitored the patient's condition daily and adjusted antihypertensive medications. Feasibility outcomes included eligibility, recruitment, adherence to monitoring, and retention rates. Secondary outcomes included proportion of those who were defined as having hypertension post-ED visits, changes in mean BP, overall BP control, medication adherence, changes to antihypertensive medications, quality of life, and end user experience at 3 months. RESULTS: A total of 46 multiethnic patients (mean age 63, SD 17 years, 69%, n=32 women) found to have severe hypertension (mean 191, SD 23/mean 100, SD 14 mm Hg) in the ED were recruited, initiated on HBPT with hypertension specialist physician referral and ... |
| نوع الوثيقة: | text |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| العلاقة: | https://digitalcommons.library.tmc.edu/uthmed_docs/1112Test; https://digitalcommons.library.tmc.edu/context/uthmed_docs/article/2093/viewcontent/formative_v8i1e49592.pdfTest |
| الإتاحة: | https://digitalcommons.library.tmc.edu/uthmed_docs/1112Test https://digitalcommons.library.tmc.edu/context/uthmed_docs/article/2093/viewcontent/formative_v8i1e49592.pdfTest |
| رقم الانضمام: | edsbas.AF2877CB |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |