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December 29, 2012Blood Pressure MonitoringOpen Access

Linking clinic and home

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Why the study?

Does a wireless BP telemonitoring device improve data exchange and BP control in older veterans with CKD and uncontrolled hypertension?

Population

43 Veterans with stage 3 or greater chronic kidney disease and uncontrolled hypertension, average age 68…

Comparison

Telemonitoring device pairing a… vs Usual care (n=15).

Design

RCT, Randomized

Follow-up

6 months

Authors

DRDena E. RifkinUniversity of California, San DiegoJAJoseph A. AbdelmalekUniversity of California, San DiegoCMCynthia M. MiracleUC San Diego Health System

Discussion

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Implication

Wireless BP telemonitoring did not improve BP control in CKD veterans; supports high adherence and data sharing but leaves efficacy open.

Structured PICO

Does a wireless BP telemonitoring device improve data exchange and BP control in older veterans with CKD and uncontrolled hypertension?

P
Population
43 Veterans with stage 3 or greater chronic kidney disease and uncontrolled hypertension, average age 68 years, 75% white.
I
Intervention
Telemonitoring device pairing a Bluetooth-enabled BP cuff with an Internet-enabled hub for wireless transmission, with weekly review and telephone contact if BP was above goal (n=28).
C
Comparator
Usual care (n=15).
O
Outcome
Improved data exchange and device acceptability.surrogate

Wireless BP telemonitoring in older veterans with CKD is acceptable and improves data sharing, though it did not significantly improve BP control compared to usual care at 6 months.

Cite This Study

Rifkin et al. (2012) studied this question.

synapsesocial.com/papers/6a82497fe35fc7ca402a5803https://doi.org/10.1097/mbp.0b013e32835d126c

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of Blood Pressure Telemonitoring on Hypertension Outcomes: A Literature Review2010 · 108 citations
  2. 2The Impact of a Multidisciplinary Information Technology–Supported Program on Blood Pressure Control in Primary Care2009 · 91 citations
  3. 3ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring2008 · 77 citations
  4. 4Prevalence of ambulatory hypotension in elderly patients with CKD stages 3 and 42009 · 29 citations
  5. 5Reliability of reporting self-measured blood pressure values by hypertensive patients1998 · 269 citations