远程高血压干预后的长期血压趋势:对数字护理转型的二次分析 - 远程交付的高血压管理计划
Shahzad Hassan1,2, Alexander J Blood1,2,3, David Zelle1
1Accelerator for Clinical Transformation (S.H., A.J.B., D.Z., S.K., K.W., D.G., C.P.C., B.M.S.), Brigham and Women's Hospital, Boston, MA.
Hypertension (Dallas, Tex. : 1979)
|January 31, 2025
概括
远程高血压管理程序有效地长期控制血压 (BP). 大多数参与者保持了高达42个月的目标BP,证明了该计划的有效性.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 高血压是心血管疾病的主要危险因素.
- 传统的高血压管理往往导致血压控制不足.
- 远程监测和算法定位可以改善高血压管理.
研究的目的:
- 评估远程高血压管理计划的长期有效性.
- 为了检查办公室血压 (BP) 控制,直至注册后42个月.
- 为了确定与持续的BP控制相关的因素.
主要方法:
- 一个远程高血压管理程序监测家庭BP和定位药物.
- 参与者被分为四组:注册维护,注册提前退出,仅接受教育和白袍高血压.
- 一个线性混合效应回归模型分析了3601名参与者的办公室BP读数,持续了42个月.
主要成果:
- 所有组在42个月内都保持了办公室BP低于合格值 (P<0.001).
- 在维持组中,89.7%的人达到目标的缩血压,相比之下,63.5% (早期退出),69.4% (仅教育) 和90.7% (白衣高血压).
- 在维持组中,50岁以上的年龄与目标以上的缩血压有关.
结论:
- 远程高血压管理计划在约90%的参与者中实现了持续的血压控制.
- 这些计划为有效的高血压管理提供了显著的长期益处.
- 密集的远程护理模式对于改善心血管健康结果至关重要.
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