Key result
Physician non-intensification of treatment for elevated home blood pressure due to 'acceptable' levels was associated with a lower incidence of repeat alerts (HR 0.69; 95% CI 0.58-0.83).
Why the study?
Does an intervention alert for elevated home blood pressure lead to treatment intensification in patients undergoing hypertension telemanagement?
Cohort (n=296)
Does an intervention alert for elevated home blood pressure lead to treatment intensification in patients undergoing hypertension telemanagement?
Effect estimate: HR 0.69 (95% CI 0.58 to 0.83)
Failure to intensify treatment in response to elevated home blood pressure alerts may represent good clinical judgment rather than clinical inertia when blood pressure is close to acceptable thresholds.
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Non-intensification near acceptable home BP thresholds may reflect judgment rather than inertia; leaves open whether alerts improve intensification in telemanagement.
Crowley et al. (2011) conducted a cohort in Hypertension (n=296). Telemedicine intervention alerts for elevated home blood pressure was evaluated on Incidence of repeat alerts when blood pressure was deemed acceptable (HR 0.69, 95% CI 0.58 to 0.83). Physician non-intensification of treatment for elevated home blood pressure due to 'acceptable' levels was associated with a lower incidence of repeat alerts (HR 0.69; 95% CI 0.58-0.83).
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