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October 26, 2018JMIR CardioOpen Access

Feasibility of Telemonitoring Blood Pressure in Patients With Kidney Disease (Oxford Heart and Renal Protection Study-1): Observational Study

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Key result

Blood pressure telemonitoring proves feasible in CKD, with ~52% of patients providing highly complete readings.

  • n=25

Why the study?

Is a telemonitoring system for blood pressure acceptable and feasible for guiding treatment in patients with chronic kidney disease?

Population

25 patients with chronic kidney disease (CKD), mean age 58 years, mean eGFR 36 mL/min/1.73m2.

Design

Cohort

Follow-up

90 days

Authors

BWBronwen E WarnerCVCarmelo VelardoDSDario Salvi

Discussion

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Overview

Supports feasibility of BP telemonitoring in CKD; leaves open efficacy for guiding therapy in prospective trials.

Study Design

Type

Observational (n=25)

Multicenter

No

Structured PICO

Is a telemonitoring system for blood pressure acceptable and feasible for guiding treatment in patients with chronic kidney disease?

P
Population
25 adults (mean age 58 years, 16% female) with chronic kidney disease at risk of progression, followed for 3 months to assess the feasibility of blood pressure telemonitoring.
I
Intervention
Telemonitoring system for blood pressure (Bluetooth-enabled BP machine transmitting to a tablet app) used daily for 30 days, then on alternate days for 60 days.
O
Outcome
Acceptability (measured via System Usability Scale and Technology Acceptance Model questionnaires) and provision of sufficient BP readings (data completeness) at 1 and 3 months.patient reported

Telemonitoring of blood pressure is highly acceptable to patients with chronic kidney disease and yields sufficient data to potentially guide antihypertensive therapy.

Limitations

  • Small number of participants limits generalizability of the results.
  • Short follow-up of only 3 months means durability of compliance in a long-term trial or routine clinical care is unknown.

Cite This Study

Warner et al. (2018) conducted an observational in Chronic kidney disease (n=25). Blood pressure telemonitoring system was evaluated on Proportion of patients providing at least 90% of expected blood pressure data over 3 months. A blood pressure telemonitoring system was feasible and acceptable for patients with chronic kidney disease, with 52% of participants providing over 90% of expected readings over 3 months.

synapsesocial.com/papers/6aa4fa7c15b6aba70f283a6ehttps://doi.org/10.2196/11332
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