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Blood pressure management through application-based telehealth platforms: a systematic review and meta-analysis
Roshini Kalagara1, Susmita Chennareddy1, Jacopo Scaggiante1
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai.
Journal of Hypertension
|June 28, 2022
Summary
Application-based telehealth programs significantly improve blood pressure management by enhancing remote patient monitoring. These digital health tools offer a promising approach to optimizing hypertension care and patient outcomes.
Area of Science:
- Cardiology
- Digital Health
- Public Health
Background:
- Hypertension management faces challenges like poor medication adherence and patient follow-up.
- Remote patient monitoring and telehealth are emerging as effective blood pressure management strategies.
Purpose of the Study:
- To investigate the effectiveness of application-based telehealth programs in optimizing blood pressure management.
- To assess the impact of remote monitoring on hypertension control.
Main Methods:
- A systematic literature search was conducted in December 2020 across three major databases.
- Included were randomized controlled trials evaluating remote blood pressure management programs using PRISMA guidelines.
- Data were analyzed using a random-effects model to determine changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP).
Main Results:
- Eighteen randomized controlled trials involving 879 articles were analyzed.
- The intervention group showed a mean weighted decrease of 7.07 mmHg for SBP and 5.07 mmHg for DBP.
- Effect sizes indicated that 86% and 85% of the intervention group experienced greater SBP and DBP reductions, respectively, compared to controls.
Conclusions:
- Application-based telehealth programs, incorporating remote patient monitoring, show significant promise for improving hypertension management.
- Further research is warranted to explore the benefits of these technologies in diverse patient subgroups.
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