What question did this study set out to answer?

To evaluate the effectiveness of an internet-based digital network for managing blood pressure and cardiovascular risk in hypertensive patients.

June 7, 2005Journal of Hypertension

The use of a telematic connection for the follow-up of hypertensive patients improves the cardiovascular prognosis

View Full Paper

Ask AI

Bookmark

Why the study?

Does an internet-based digital network connecting specialists and general practitioners improve blood pressure control and reduce cardiovascular risk in hypertensive patients?

Population

4,024 hypertensive patients managed in Naples, Italy.

Comparison

Internet-based digital network connecting… vs Patients referred to specialist clinics by…

Design

Cohort, GPs enrolled in the CS network were randomized, but the control group…

Follow-up

2 years

Authors

NLNicola De LucaFederico II University Hospital RIRaffaele IzzoGeneral / Preventive / Lipids GIGuido IaccarinoHeart Failure & Transplant

Discussion

Member takes

Implication

May support telemedicine for hypertension management; leaves open whether RCTs confirm MACE reduction.

Key Points

To evaluate the effectiveness of an internet-based digital network for managing blood pressure and cardiovascular risk in hypertensive patients.
Randomized trial with 1979 patients enrolled in a telematic network and 2045 patients as control.
Two-year follow-up focusing on blood pressure control and cardiovascular risk scores.
Evaluation included blood pressure measurements and major cardiovascular events.
CS group showed a greater reduction in systolic/diastolic blood pressure (7.3/5.4 mmHg vs 4.1/3.1 mmHg, P < 0.001).
Mean cardiovascular risk score decreased from 3.5 to 3.2 in the CS group (P < 0.01).
Fewer major cardiovascular events in CS group (2.9% vs 4.3%, P < 0.02) with odds ratio of 0.838 (95% CI: 0.73-0.96).

Structured PICO

Does an internet-based digital network connecting specialists and general practitioners improve blood pressure control and reduce cardiovascular risk in hypertensive patients?

Population

4,024 hypertensive patients (n=1979 in the intervention network, n=2045 in the control group) managed in Naples, Italy.

Intervention

Internet-based digital network (CampaniaSalute Network, CS) connecting hypertension specialists and general practitioners (GPs) to update online records and manage patients over a 2-year period.

Comparator

Patients referred to specialist clinics by general practitioners from outside the network.

Outcome

Blood pressure (BP) and total cardiovascular risk (TCVR) control at 2-year follow-up.surrogate

Implementation of a telemedicine network connecting general practitioners and hypertension specialists improves blood pressure control and reduces the risk of major cardiovascular events.

Cite This Study

Luca et al. (2005) studied this question.

synapsesocial.com/papers/6a709e0c22b3175134db54d5 https://doi.org/10.1097/01.hjh.0000173526.65555.55

Topics

Hypertension management Women and heart disease

View Full Paper

Ask AI

Bookmark

The use of a telematic connection for the follow-up of hypertensive patients improves the cardiovascular prognosis

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

The use of a telematic connection for the follow-up of hypertensive patients improves the cardiovascular prognosis

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider