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Cited by 166Blood Pressure and Hypertension StudiesTelemedicine and Telehealth ImplementationNon-Invasive Vital Sign Monitoring

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Home blood pressure telemonitoring improves hypertension control in general practice. The TeleBPCare study

Parati, Gianfranco, Omboni, Stefano, Albini, Fabio, Piantoni, Lucia, Giuliano, Andrea, Revera, Miriam, Illyes, Miklos, Mancia, Giuseppe·2009·Journal of Hypertension
DOI 10.1097/hjh.0b013e3283163caf
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Abstract

BACKGROUND: Self blood pressure monitoring at home may improve blood pressure control and patients' compliance with treatment, but its implementation in daily practice faces difficulties. Teletransmission facilities may offer a more efficient approach to long-term home blood pressure monitoring. METHODS: Twelve general practitioners screened 391 consecutive uncontrolled mild-moderate hypertensive patients (80% treated), 329 of whom (58 +/- 11 years, 54% men) were randomized to either usual care on the basis of office blood pressure (group A, n = 113) or to integrated care on the basis of teletransmitted home blood pressure (group B, n = 216). Twenty-four-hour ambulatory blood pressure monitoring was performed at baseline and after 6 months, during which treatment was optimized according to either office (group A) or home (group B) blood pressure values. We compared differences between groups in the rate of daytime ambulatory blood pressure normalization (<130/80 mmHg), need of treatment changes during follow-up, quality of life scores, and healthcare costs. RESULTS: Baseline office blood pressures were 149 +/- 12/89 +/- 9 and 148 +/- 13/89 +/- 7 mmHg in groups A (n = 111) and B (n = 187) respectively, the corresponding daytime values being 140 +/- 11/84 +/- 8 and 139 +/- 11/84 +/- 8 mmHg. The percentage of daytime blood pressure normalization was higher in group B (62%) than in group A (50%) (P < 0.05). There were less frequent treatment changes in group B than in group A (9 vs. 14%, P < 0.05). Quality of life tended to be higher and costs lower in group B. CONCLUSION: Patients' management based on home blood pressure teletransmission led to a better control of ambulatory blood pressure than with usual care, with a more regular treatment regimen.

Overview

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Crossref · 10.1097/hjh.0b013e3283163caf

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Metadata

Authors
Parati, G., Omboni, S., Albini, F., Piantoni, L., Giuliano, A., Revera, M., Illyes, M., & Mancia, G.
Affiliations
  • IRCCS Istituto Auxologico Italiano (IT)
  • Italian Institute of Telemedicine (IT)
Corresponding author
Parati, Gianfranco
ORCID
Venue
Journal of Hypertension
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2009-01
Volume
27
Issue
1
Pages
198-203
ISSN
0263-6352 (ISSN-L)
DOI
10.1097/hjh.0b013e3283163caf
OpenAlex
W2050350498
Cited by
166
References
27
Citations by year
2026: 3 · 2025: 5 · 2024: 7 · 2023: 5 · 2022: 8 · 2021: 11 · 2020: 8 · 2019: 16 · 2018: 10 · 2017: 9 · 2016: 8 · 2015: 12 · 2014: 7 · 2013: 17 · 2012: 11
FWCI
7.03
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Hypertension (publishedVersion)
  • PubMed (publishedVersion)
  • BOA (University of Milano-Bicocca) (submittedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
Keywords
home blood pressure monitoring, remote patient monitoring, hypertension control, ambulatory blood pressure, office blood pressure, quality of life, health care costs, general practice
MeSH terms
Aged, Family Practice, Female, Humans, Hypertension, Male, Middle Aged, Telemedicine, Blood Pressure Monitoring, Ambulatory

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