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An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension

Sang-Hyun Park1, Jong-Ho Shin1, Joowoong Park2

  • 1Department of Internal Medicine, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon 35233, Korea.

International Journal of Environmental Research and Public Health
|October 23, 2021
PubMed

Insights

Remote blood pressure monitoring (RBPM) effectively lowers systolic and diastolic blood pressure in urban hypertensive patients. This method also improves blood pressure control rates, offering a valuable tool for managing hypertension.

Area of Science:

  • Cardiology
  • Public Health
  • Health Informatics

Background:

  • Hypertension management is crucial, especially post-pandemic.
  • Remote blood pressure monitoring (RBPM) offers a novel approach for patient care.
  • Urban populations with high healthcare access present a specific context for evaluating RBPM.

Purpose of the Study:

  • To evaluate the overall effects of RBPM on urban hypertensive patients.
  • To provide updated quantitative summary data on RBPM efficacy.
  • To assess RBPM's impact on blood pressure control rates.

Main Methods:

  • A meta-analysis of 32 high-quality studies (48 comparisons) was conducted.
  • Data was synthesized from inception to November 2020, including 2721 initially searched articles.
  • A random effects model was used to analyze changes in office systolic blood pressure (SBP) and diastolic blood pressure (DBP).

Main Results:

  • RBPM significantly reduced SBP (SMD 0.507, WMD 4.464 mmHg) and DBP (SMD 0.315, WMD 2.075 mmHg) compared to usual care.
  • The blood pressure control rate was higher in the RBPM group (RR 1.226).
  • RBPM effectiveness was associated with city size, monitoring frequency, intervention duration, and absence of medically underserved areas.

Conclusions:

  • RBPM is an effective strategy for reducing blood pressure in urban hypertensive patients.
  • RBPM contributes to achieving target blood pressure levels.
  • The findings support the integration of RBPM into routine hypertension management for urban populations.

Keywords:
blood pressurehypertensionremote monitoringtelemedicineurban

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