The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
A pilot study of hypertension management using a telemedicine treatment approach
Abstract
We recruited 78 men and 94 women to investigate if the proportion of subjects with well-controlled home blood pressure levels could be increased when treatment was guided by smartphone-based telemonitoring. All patients were prescribed one to three antihypertensive drugs. The Accumbo smartphone telemonitoring application was downloaded to the Iphones of the participants and home blood pressure information was gathered from semi-automatic oscillometric blood pressure-recorders by Bluetooth. The study physician adjusted the medications based on home blood pressure for 3 months. home blood pressure was controlled (<135/<85 mmHg) in 55 participants at baseline and in 56 subjects after 3 months (Chi-square P = 0.91). The 117 patients with initially uncontrolled home blood pressure had a drop in home blood pressure (from 138.0 ± 9.0/91.3 ± 6.5 mmHg to 133.4 ± 8.0/88.6 ± 6.1 mmHg, P < 0.001) and prescribed antihypertensive drugs increased from 1.71 ± 0.94/day to 2.00 ± 0.92/day, P < 0.0001. Thus, while the proportion of participants with controlled home blood pressure remained unchanged, the home blood pressure levels were lowered in participants who had uncontrolled home blood pressure at study start.
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“Despite the promising results and future perspectives of mHealth-related interventions [126], there are still some issues in the digital health-based approach that should be addressed before recommending it for widespread clinical use [121]”
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Cites
A content analysis of smartphone–based applications for hypertension management
Kumar, N., Khunger, M., Gupta, A., & Garg, N. (2015) · Journal of the American Society of Hypertension · doi:10.1016/j.jash.2014.12.001 · Cited by 208
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Research works printed but not linked: 14
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Parati, G., Stergiou, G. S., Bilo, G., Kollias, A., Pengo, M., Ochoa, J. E., Agarwal, R., Asayama, K., Asmar, R., Burnier, M., et al. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002922 · Cited by 178
Metadata
- Authors
- Wijkman, M., Carlsson, M., Darwiche, G., & Nystrom, F. H.
- Affiliations
- Linköping University (SE)
- Linnaeus University (SE)
- Lund University (SE)
- Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
- Venue
- Blood Pressure Monitoring
- Published
- 2020-02
- Volume
- 25
- Issue
- 1
- Pages
- 18-21
- ISSN
- 1359-5237 (ISSN-L)
- OpenAlex
- W2982317680
- Cited by
- 5
- References
- 2
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2021: 1
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Blood Pressure Monitoring (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (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
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- antihypertensive therapy, telemedicine, home blood pressure monitoring, antihypertensive drugs, dose titration, blood pressure control
- MeSH terms
- Smartphone, Adult, Aged, Antihypertensive Agents, Blood Pressure, Blood Pressure Determination, Female, Humans, Hypertension, Male, Middle Aged, Oscillometry, Pilot Projects, Telemedicine, Blood Pressure Monitoring, Ambulatory, Mobile Applications
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