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Cloud-based BP system integrated with CPOE improves self-management of the hypertensive patients: A randomized

Peisan Lee1, Ju-Chi Liu2, Ming-Hsiung Hsieh3

  • 1Institute of Biomedical Informatics, National Yang-Ming University, Taipei, Taiwan; College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan.

Computer Methods and Programs in Biomedicine
|June 11, 2016
PubMed

Insights

A cloud-based blood pressure (BP) system integrated with computerized physician order entry (CPOE) significantly improved hypertension management compared to traditional care. This user-friendly system enhances patient BP control and medication adherence.

Area of Science:

  • Cardiology
  • Health Informatics
  • Clinical Trials

Background:

  • Hypertension affects a large patient population, with less than 50% achieving normal blood pressure (BP) levels.
  • Effective BP management remains a significant clinical challenge.

Purpose of the Study:

  • To evaluate the efficacy of a cloud BP system integrated with computerized physician order entry (CPOE) in improving BP management.
  • To compare the outcomes of this integrated system against traditional care for hypertensive patients.

Main Methods:

  • A randomized controlled trial involving 382 adult patients with hypertension.
  • Physicians utilized cloud BP data via CPOE; patients and physicians were unblinded.
  • Study conducted over seven months in two Taiwanese district hospitals.

Main Results:

  • The intervention group, using the cloud BP system with CPOE, showed significantly higher BP control rates at two, four, and six months.
  • Average blood pressure capture rates were significantly higher in the intervention group.
  • No significant baseline differences in BP or demographics between groups.

Conclusions:

  • Cloud-based BP systems integrated with CPOE enhance BP control more effectively than traditional care.
  • The system's ease of use makes it suitable for all age groups.
  • Physician feedback on cloud BP data positively influenced patient BP monitoring and medication adherence.
Abstract

Keywords:
CPOECloud-based BP systemHypertensionRandomized controlled trialSelf-management

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