A study of renal function influence by integrating cloud-based manometers and physician order entry systems

Area of Science:

• Nephrology
• Cardiology
• Health Informatics

Background:

• Limited evidence from randomized trials exists for cloud-based manometers integrated with physician order entry systems in tracking blood pressure (BP) for renal function control.
• Investigated the benefits of integrated cloud-based manometers versus typical BP tracking systems for outpatient chronic kidney disease (CKD) patients.

Purpose of the Study:

• To evaluate the impact of integrated cloud-based manometers on blood pressure and renal function in CKD patients.
• To compare the efficacy of integrated cloud-based manometers with traditional BP monitoring methods.

Main Methods:

• Randomly assigned 36 CKD patients to either integrated cloud-based manometers or typical BP recording sheets for 6 months.
• Monitored composite outcomes of BP and renal function improvement.

Main Results:

• Significant reductions in nighttime systolic and diastolic BP were observed in the study group.
• Serum creatinine levels significantly improved in the study group compared to the control group (p = 0.018).
• Nonsignificant improvement in proteinuria was noted in the study group.

Conclusions:

• Regular BP monitoring using integrated cloud-based manometers significantly decreased creatinine and improved nighttime BP control in pre-end-stage renal disease patients.
• Further research with larger populations and longer follow-up is warranted to confirm improvements in estimated glomerular filtration rate and proteinuria.