What question did this study set out to answer?

This study aims to evaluate the efficacy and safety of telemedicine for managing hypertension.

January 31, 2021Open Access

Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial (Preprint)

Q: What is the clinical evidence from this study?

Study design: RCT. Population: Uncomplicated hypertension (n=99). Intervention: Telemedicine (home blood pressure monitoring and web-based video visits) vs. Usual care. Primary outcome: Weekly average systolic blood pressure at the end of the 1-year study period (p=.02).

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Key result

Telemedicine via home blood pressure monitoring and video visits significantly reduced weekly average systolic blood pressure at 1 year compared to usual care (125 vs 131 mmHg; P=0.02).

Why the study?

The burden of time often leads patients to discontinue treatment, and telemedicine may improve adherence by offering convenience in managing hypertension.

Does telemedicine with home blood pressure monitoring and videoconferencing improve blood pressure control in patients with uncomplicated hypertension?

Key Points

This study aims to evaluate the efficacy and safety of telemedicine for managing hypertension.
99 patients with uncomplicated hypertension were randomized into two groups: telemedicine and usual care.
The telemedicine group utilized home blood pressure monitoring and video consultations with specialists for one year.
The usual care group managed BP through self-recordings and community practice monitoring.
Weekly average systolic blood pressure at 1 year was significantly lower in the telemedicine group (125 mmHg vs 131 mmHg, P=.02).
SBP control (≤135 mmHg) was better in the telemedicine group (85.3% vs 70.0%, P=.01).
No significant adverse events were observed during the study.

Study Design

Type

RCT (n=99)

Randomization

Stratified by office systolic blood pressure

Structured PICO

Does telemedicine with home blood pressure monitoring and videoconferencing improve blood pressure control in patients with uncomplicated hypertension?

Population

99 patients with uncomplicated hypertension, 54% of whom were untreated at baseline, followed for 1 year.

Intervention

Telemedicine management including a 3G network-attached home blood pressure monitoring device, web-based video visits with hypertension specialists from an academic hospital, and prescription medication by mail for 1 year

Comparator

Usual care using the same blood pressure monitoring device but managed using self-recorded blood pressure readings (diary entries) and office blood pressure taken in a community practice setting for 1 year

Outcome

Weekly average systolic blood pressure (SBP) at the end of the 1-year study periodsurrogate

Main Result

Absolute Event Rate: 125% vs 131%

p-value: p=.02

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Telemedicine improves BP control versus usual care; confirms efficacy of remote management and supports wider clinical adoption.

Cite This Study

Yatabe et al. (2021) conducted an RCT in Uncomplicated hypertension (n=99). Telemedicine (home blood pressure monitoring and web-based video visits) vs. Usual care was evaluated on Weekly average systolic blood pressure at the end of the 1-year study period (p=.02). Telemedicine via home blood pressure monitoring and video visits significantly reduced weekly average systolic blood pressure at 1 year compared to usual care (125 vs 131 mmHg; P=0.02).

synapsesocial.com/papers/6a5d4e6e289a75eadbc28591 https://doi.org/10.2196/preprints.27347

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Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial (Preprint)

Key Points

Study Design

Structured PICO

Main Result

Discussion

Implication

Cite This Study

Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial (Preprint)

Key Points

Study Design

Structured PICO

Main Result

Discussion

Implication

Cite This Study

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