使用跨学科远程高血压程序改善高风险慢性病患者的血压
Molly C Fisher1, Sharon Rikin2, Sonali Gupta1
1Division of Nephrology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, New York, USA.
Kidney international reports
|April 30, 2025
概括
这项研究表明,远程患者监测 (RPM) 在患有慢性病 (CKD) 的黑人和西班牙裔患者中有效改善血压 (BP) 控制. 该计划展示了高可行性和显著的BP降低,提供了一个有希望的方法来减少健康差异.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 健康 公平 卫生 公平
背景情况:
- 在慢性病 (CKD) 患者中,在实现血压 (BP) 控制方面仍然存在种族和民族差异.
- 需要采取干预措施来解决这些差异,并改善脆弱人群的高血压管理.
- 远程患者监测 (RPM) 提供了一个潜在的解决方案,用于加强慢性病患者的高血压管理.
研究的目的:
- 确定跨学科RPM高血压计划的可行性和有效性.
- 评估该计划对主要是黑人和西班牙裔患有慢性病患者的血压控制的影响.
- 评估RPM在降低高血压管理中的种族和民族差异方面的潜力.
主要方法:
- 一个RPM高血压计划在纽约市卫生系统中进行了评估 (2021年7月至2022年10月).
- 患者使用蜂支持的BP设备进行实时数据传输,接受生活方式教育和基于远程医疗的药物调整.
- 通过招生,参与和保留率来评估可行性;血压控制通过3个月后的平均血压变化和6个月后达到血压<130/80 mmHg的比例来衡量血压控制.
主要成果:
- 该计划表现出高可行性,在受邀患者中,招募率为91.9%,在3个月内保留率为78.4%.
- 3个月后观察到静脉血压 (-15.0 mmHg) 和静脉血压 (-6.7 mmHg) 的显著平均降低 (分别P < 0.0001和P = 0.0007).
- 在6个月后,49.4%的参与者达到130/80mmHg以下的目标血压.
结论:
- 跨学科的RPM高血压计划在改善慢性病患者的血压控制方面是可行的和有效的.
- 这种方法有望提高高血压管理的公平性,特别是在种族和少数民族群体中.
- 需要进一步的研究来评估与常规护理相比,使用RPM维持血压控制的长期维持.
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