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Randomized Controlled Trial of Home Telemonitoring of Blood Pressure with an Adapted Tensiometer with SMS Capability

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dc.contributor.author Calderón Anyosa, Renzo José Carlos
dc.contributor.author Tincopa Flores, Jean Pierre
dc.contributor.author Raza García, Mabel Karel
dc.contributor.author Cárcamo Cavagnaro, César Paul Eugenio
dc.date.accessioned 2023-03-23T15:49:33Z
dc.date.available 2023-03-23T15:49:33Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13277
dc.description.abstract Despite being a public health problem, less than a third of hypertensive patients manage to control blood pressure (BP). In this paper, we conducted a two-arm randomized controlled trial to investigate the efficacy of an SMS-based home BP telemonitoring system compared to usual care in patients with uncontrolled hypertension from a primary care center. This study was conducted between April and August 2018. Participants in the intervention arm used a custom-designed telemonitoring device for two weeks and were followed up for two additional weeks; controls were followed for 4 weeks. The main objective of this study is to evaluate the impact on blood pressure of a telemonitoring system using a blood pressure monitor adapted to send data via SMS to health providers in primary care centers for 4 weeks. In this trial, 38 patients were included in the analysis (18 in each arm), 68% were women, and the mean age was 68.1 [SD: 10.8 years], with no differences between arms. Among the results we found was that There was no significant difference in the change in systolic BP values between the control and intervention arm (−7.2 [14.9] mmHg vs. −16.3 [16.7] mmHg; p = 0.09). However, we found a significant difference in the change of diastolic BP (−1.2 [6.4] mmHg vs. −7.2 [9.8] mmHg; for the control and intervention arms, respectively p = 0.03). With all this, we conclude that an SMS-based home BP telemonitoring system is effective in reducing diastolic BP by working in conjunction with primary care centers. Our findings represent one of the first interventions of this type in our environment, being an important alternative for the control of high blood pressure. en_US
dc.description.sponsorship Este trabajo fue financiado por CONCYTEC - FONDECYT [CONV-000229-2015]. es_PE
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartofseries European Journal of Investigation in Health, Psychology and Education
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject telemedicine en_US
dc.subject hypertension en_US
dc.subject primary care en_US
dc.subject short message system en_US
dc.subject monitoring en_US
dc.subject.mesh Telemedicina
dc.subject.mesh Hipertensión
dc.subject.mesh Atención Primaria de Salud
dc.subject.mesh Telemonitorización
dc.title Randomized Controlled Trial of Home Telemonitoring of Blood Pressure with an Adapted Tensiometer with SMS Capability en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.3390/ejihpe13020033
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.28
dc.relation.issn 2254-9625


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