与远程产后高血压监测计划相关的临床结果
Lara S Lemon1, Beth Quinn, Anna Binstock
1Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, and Magee-Womens Research Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Obstetrics and gynecology
|July 2, 2024
概括
对于患有妊娠高血压障碍 (HDP) 的产后个人进行远程监测,减少了重返医院的住院和改善了指导方针的遵守,包括及时检查血压和开始药物治疗.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 数字健康数字健康
背景情况:
- 妊娠高血压障碍 (HDP) 对产后个人构成重大风险.
- 有效的产后管理对于预防不良结果至关重要.
- 远程监控为改善产后护理提供了一个潜在的解决方案.
研究的目的:
- 为了在远程监测计划中比较产后患者与常规护理的医疗保健利用率和指导方针的遵守率.
- 评估远程血压监测对产后结果的影响.
主要方法:
- 对12 038名患有HDP的产后患者进行了回顾性队列研究.
- 远程高血压管理计划 (家庭血压测量,护理团队) 与常规护理的比较.
- 倾向性得分与控制对照基线差异的匹配;重新入院的分析,产后访问,血压测量和抗高血压药物的启动.
主要成果:
- 远程监测与明显较低的产后再接收率相关 (aRD -1.5%).
- 计划参与者在10天内血压测量率较高 (aRD 85.4%) 和6周产后办公室访问率较高 (aRD 5.7%).
- 参与远程计划增加了产后开始服用抗高血压药物的可能性 (aRR 4.44).
结论:
- 产后远程血压监测计划可以提高医疗保健的利用率和指导方针的遵守率.
- 这些计划与医院再入院减少和药物使用增加有关.
- 远程监测是管理产后高血压疾病的一个有价值的策略.
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