What question did this study set out to answer?

To evaluate the feasibility, acceptability, and compliance of a hospital-wide remote blood pressure monitoring protocol for postpartum hypertension management following discharge.

September 10, 2019Obstetrics and GynecologyOpen Access

A Postpartum Remote Hypertension Monitoring Protocol Implemented at the Hospital Level

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Why the study?

To evaluate the feasibility, acceptability, and compliance of a hospital-level remote blood pressure monitoring protocol for managing hypertension in postpartum women after discharge.

Does a remote blood pressure monitoring protocol improve compliance and satisfaction in postpartum women with hypertension?

Population

First 409 enrolled postpartum women with hypertensive disorders at a single tertiary care hospital

Comparison

Nursing call center-driven remote blood pressure monitoring protocol without comparator

Design

Single-center quality improvement project

Follow-up

6 weeks postpartum

Authors

AHAlisse HauspurgPreventive Cardiology LLLara LemonTwitter (United States)BQBeth QuinnMagee-Womens Hospital

Discussion

Member takes

Implication

Supports remote monitoring feasibility in postpartum hypertension; leaves open outcome benefits versus usual care in RCTs.

Key Points

To evaluate the feasibility, acceptability, and compliance of a hospital-wide remote blood pressure monitoring protocol for postpartum hypertension management following discharge.
Conducted an ongoing quality improvement project at a single tertiary care postpartum unit enrolling patients with chronic hypertension, gestational hypertension, or preeclampsia who had text-enabled smartphones.
Implemented a nursing call center-driven algorithm integrated into the electronic medical record to monitor blood pressure and titrate medications from hospital discharge through 6 weeks postpartum.
Among the initial 409 analyzed patients (out of 499 enrolled), 42% (171/409) had antihypertensive medications initiated or titrated via the remote protocol.
Program engagement remained high, with 83% (340/409) continuing monitoring past 3 weeks and 88% (360/409) attending their in-person 6-week postpartum visit.
Of the 250 participants who completed a postprogram evaluation survey, 94% (235/250) reported satisfaction with the remote monitoring service.

Structured PICO

Does a remote blood pressure monitoring protocol improve compliance and satisfaction in postpartum women with hypertension?

Population

409 postpartum women with a diagnosis of chronic hypertension, superimposed preeclampsia, gestational hypertension, preeclampsia, or postpartum hypertension, with access to a text messaging-enabled smartphone device, from a single tertiary care hospital.

Intervention

Remote blood pressure monitoring protocol driven by a nursing call center with management and treatment algorithms, from hospital discharge until 6 weeks postpartum.

Outcome

Feasibility, acceptability, and compliance of the remote blood pressure monitoring protocolpatient reported

A remote blood pressure monitoring program for postpartum women with hypertension is feasible, scalable, and associated with high compliance and patient satisfaction.

Cite This Study

Hauspurg et al. (2019) studied this question.

synapsesocial.com/papers/69fff7d2b124fe581985b625 https://doi.org/10.1097/aog.0000000000003479

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A Postpartum Remote Hypertension Monitoring Protocol Implemented at the Hospital Level

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

A Postpartum Remote Hypertension Monitoring Protocol Implemented at the Hospital Level

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider