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Randomized clinical trial to assess the effectiveness of remote patient monitoring and physician care in reducing office blood pressure

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Author(s)
Yoon-Nyun KimDong Gu ShinSungha ParkChang Hee Lee
Keimyung Author(s)
Kim, Yoon Nyun
Department
Dept. of Internal Medicine (내과학)
Journal Title
Hypertension Research
Issued Date
2015
Volume
38
Issue
7
Keyword
Blood pressureHome blood pressureRemote monitoringRemote physician care
Abstract
The effectiveness of remote patient monitoring and physician care for the treatment of hypertension has not been demonstrated
in a randomized clinical trial. The objective of this study was to evaluate the effectiveness of remote patient monitoring with or
without remote physician care in reducing office blood pressure in patients with hypertension. A total of 374 hypertensive
patients over 20 years of age were randomized into the following three groups: group (1) control, the patients received usual
clinical care with home BP monitoring; group (2) the patients were remotely monitored and received office follow-up; and group
(3) the patients received remote monitoring without physician office care using the remote monitoring device. For each group, inoffice
follow-up care was scheduled every 8 weeks for 24 weeks. The primary end point was the difference in sitting SBP at the
24-week follow-up. No difference between the three groups was observed in the primary end point (adjusted mean sitting SBP
was as follows: group 1: − 8.9±15.5mmHg, group 2: − 11.3±15.9mmHg, group 3: − 11.6±19.8mmHg, (NS). Significant
differences in achieving the target BP at the 24th week of follow-up were observed between groups 1 and 2. The subjects over
55-years old had a significant decrease in the adjusted mean sitting SBP in groups 2 and 3 compared with that of the control
group. Remote monitoring alone or remote monitoring coupled with remote physician care was as efficacious as the usual office
care for reducing blood pressure with comparable safety and efficacy in hypertensive patients.
Keimyung Author(s)(Kor)
김윤년
Publisher
School of Medicine
Citation
Yoon-Nyun Kim et al. (2015). Randomized clinical trial to assess the effectiveness of remote patient monitoring and physician care in reducing office blood pressure. Hypertension Research, 38(7), 491–497.
Type
Article
ISSN
0916-9636
Source
http://dx.doi.org.proxy.dsmc.or.kr/10.1038/hr.2015.32
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33035
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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