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Related Concept Videos

Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Factors affecting Blood pressure01:28

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Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
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Alterations in Blood Pressure01:30

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Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Hypertension and Regulation of Blood Pressure01:18

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Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Software-driven chronic disease management: Algorithm design and implementation in a community-based blood pressure

Rahul C Deo1,2, Rebecca Smith1, Calum A MacRae1,2

  • 1Atman Health, Needham, MA, USA.

SAGE Open Medicine
|November 4, 2024
PubMed
Summary
This summary is machine-generated.

A new software platform improved blood pressure control in a community setting, achieving goals in 69% of enrolled patients. This technology shows promise for remote disease management, especially in under-resourced areas.

Keywords:
Health equityartificial intelligenceautomationguideline-directed medical therapyhypertensionquality measuressoftwarevalue-based care

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Area of Science:

  • Digital Health
  • Cardiovascular Medicine
  • Health Informatics

Background:

  • Guideline-directed medical therapy for hypertension is often suboptimal, particularly in under-resourced communities.
  • Technology, including AI and software, offers potential for improved disease management and outcomes.
  • A holistic approach is crucial for effective integration of technology in healthcare.

Purpose of the Study:

  • To design and evaluate a software platform for rapid, iterative remote management of over 20 cardiac-kidney-metabolic conditions.
  • To assess the feasibility of a software-driven, community-based blood pressure control program.
  • To determine the proportion of patients achieving a target blood pressure goal within 12 weeks.

Main Methods:

  • A software platform was developed to manage multiple conditions, distribute workload among care teams, and automate processes.
  • A single-arm, quality improvement program was implemented in a community setting.
  • The primary endpoint was achieving the Healthcare Effectiveness Data and Information Set (HEDIS) blood pressure goal (<140/90 mmHg) at 12 weeks.

Main Results:

  • Out of 1609 screened patients, 512 with uncontrolled hypertension enrolled; 99% identified as Black, with an average age of 61.
  • Of 204 patients who had a provider encounter, 160 completed the program.
  • The HEDIS blood pressure goal was achieved by 141 participants (69% of enrolled, 88% of completers) within 12 weeks.

Conclusions:

  • Software-driven remote management of blood pressure is feasible and effective in a community setting.
  • Strategies to enhance patient enrollment are necessary for maximizing the impact of such programs.
  • Further research is needed to compare outcomes with usual care and manage multiple conditions concurrently.