Key result
Self-monitoring reduces SBP by ~9 mm Hg vs usual care in hypertensive patients over 60.
Why the study?
Does self-monitoring blood pressure reduce blood pressure in patients with hypertension?
RCT (n=224)
Randomized
No
Does self-monitoring blood pressure reduce blood pressure in patients with hypertension?
Effect estimate: Difference -8.9 mm Hg (age ≥60 years) (95% CI -15.1 to -2.7)
p-value: p=<.05
Self-monitoring of blood pressure significantly reduces systolic blood pressure and improves control rates in hypertensive patients aged 60 years and older in a primary care setting.
Supports self-monitoring of blood pressure in hypertensive patients ≥60 years; confirms efficacy in primary care RCT.
OBJECTIVE: To examine the effectiveness of self-monitoring blood pressure (SMBP) in a randomized controlled trial with 12 months of follow-up in a community hospital. METHODS: A total of 224 eligible patients with hypertension were randomly allocated to the SMBP (n = 111) and usual care groups (n = 113). Each patient in the SMBP group was provided with a blood pressure (BP) monitor for home BP measurement. Mixed model regression was used to compare changes in BP at months 6 and 12 and compare between groups. RESULTS: At month 12, compared with usual care, the SMBP group had average systolic BP decreased by 2.5 mm Hg. The benefit of the SMBP was found in those aged ≥60 years, which significantly decreased by -8.9 mm Hg (95% CI = -15.1 to -2.7) compared with those in the usual care. For individuals aged 60 years and older in the SMBP group, the proportion of those with uncontrolled BP decreased from 90.9% at baseline to 38.2% at month 12 (P < .05). However, among those aged <60 years, SMBP did not perform better than the usual care group. CONCLUSION: For primary care setting in urban area, the SMBP resulted in lower BP in the older persons with hypertension at 12 months. Further study on effectiveness of SMBP in other settings may be warranted.
No takes yet. Share an insight, caveat, or question.
Aekplakorn et al. (2015) conducted an RCT in Hypertension (n=224). Self-monitoring blood pressure (SMBP) vs. Usual care was evaluated on Change in systolic blood pressure at 12 months (Difference -8.9 mm Hg (age ≥60 years), 95% CI -15.1 to -2.7, p=<.05). Self-monitoring blood pressure reduced systolic blood pressure by 8.9 mm Hg (95% CI -15.1 to -2.7) compared to usual care in hypertensive patients aged ≥60 years at 12 months.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: