Key result
Regular home blood pressure monitoring was performed by only 40% of patients with available devices and was not associated with significantly better blood pressure control compared to irregular or no use (54.5% vs 49.7%, p=0.52).
Why the study?
What is the availability and use of home blood pressure monitoring among treated hypertensive patients in the Czech general population?
Cross-Sectional (n=449)
What is the availability and use of home blood pressure monitoring among treated hypertensive patients in the Czech general population?
Answers are grounded in this paper and cite their sources.
While over half of treated hypertensive patients in the Czech general population have access to home blood pressure monitoring, only a minority use it regularly, highlighting a gap in hypertension management and patient education.
CĂl: MÄĹenĂ krevnĂho tlaku (TK) v domĂĄcĂch podmĂnkĂĄch (HBPM) bĂ˝vĂĄ spojeno jak se zlepĹĄenĂm kontroly TK, tak se zlepĹĄenĂm compliance s lĂŠÄbou, proto bychom jeho provĂĄdÄnĂ mÄli hypertonikĹŻm doporuÄovat.Metodika: V prĹŻĹezovĂŠm ĹĄetĹenĂ lĂŠÄenĂ˝ch hypertonikĹŻ vybranĂ˝ch z nĂĄhodnĂŠho vzorku obecnĂŠ populace (Czech post-MONICA) jsme proto zjiĹĄĹĽovali dostupnost a pouĹžitĂ HBPM. V prĂĄci jsme pouĹžili univariantnĂ a multivariantnĂ logistickou regresi.VĂ˝sledky: Ze 449 lĂŠÄenĂ˝ch hypertonikĹŻ (prĹŻmÄrnĂ˝ vÄk 63,2 roku, 52,1 % Ĺžen), 250 (55,7 %) jedincĹŻ uvedlo, Ĺže majĂ dostupnĂ˝ tlakomÄr k mÄĹenĂ HBPM. Faktory spojenĂŠ s dostupnostĂ HBPM byly vyĹĄĹĄĂ vÄk, rodinnĂ˝ stav, univerzitnĂ vzdÄlĂĄnĂ, delĹĄĂ trvĂĄnĂ hypertenze a nekuĹĂĄctvĂ. Z 250 osob, jeĹž mÄly HBPM k dispozici, si pouze 40 % mÄĹilo TK v domĂĄcĂch podmĂnkĂĄch pravidelnÄ (minimĂĄlnÄ jednou tĂ˝dnÄ). PravidelnĂŠ pouĹžĂvĂĄnĂ korelovalo s poÄtem uĹžĂvanĂ˝ch antihypertenziv (monoterapie 30 %, dvojkombinace 43 %, kombinace ≥ tĹĂ lĂŠkĹŻ 48 %; p pro trend = 0,028). Kontrola krevnĂho tlaku vĹĄak byla obdobnĂĄ u jedincĹŻ, kteĹĂ HBPM pravidelnÄ uĹžĂvali v porovnĂĄnĂ s tÄmi, kteĹĂ HBPM uĹžĂvali nepravidelnÄ nebo vĹŻbec (54,5 vs. 49,7%; p = 0,52).ZĂĄvÄr: MÄĹenĂ TK v domĂĄcĂch podmĂnkĂĄch je dostupnĂŠ vĂce neĹž polovinÄ lĂŠÄenĂ˝ch hypertonikĹŻ vybranĂ˝ch z obecnĂŠ populace. NicmĂŠnÄ pouze polovina z nich si mÄĹĂ TK v domĂĄcĂch podmĂnkĂĄch pravidelnÄ.
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Seidlerová et al. (2014) conducted a cross-sectional in Treated arterial hypertension (n=449). Regular home blood pressure monitoring (HBPM) vs. Irregular or no use of HBPM was evaluated on Blood pressure control (BP < 140/90 mm Hg) (p=0.52). Regular home blood pressure monitoring was performed by only 40% of patients with available devices and was not associated with significantly better blood pressure control compared to irregular or no use (54.5% vs 49.7%, p=0.52).
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