Dena E. Rifkin|Joseph A. Abdelmalek|Cynthia M. Miracle|Chai Luan Low|Ryan Barsotti|Phil Rios|Carl Stepnowsky|Zia Agha
Linking clinic and home
General Department of Preventive Medicine|University of California System|Health Services Research & Development|Health Services Research & Development
objective older adults chronic kidney disease high rate uncontrolled hypertension home monitoring blood pressure bp integral part management requires patients bring records clinic visits telemonitoring interventions however targeted older less technologicallyskilled populations methods veterans stage 3 greater chronic kidney disease uncontrolled hypertension randomized novel telemonitoring device pairing bluetoothenabled bp cuff internetenabled hub wirelessly transmitted readings n28 usual care n15 home recordings reviewed weekly telemonitoring participants contacted bp goal prespecified primary endpoints improved data exchange device acceptability secondary endpoint bp change results fortythree participants average age 68 years 75 white completed 6month study average startofstudy bp 14778 mmhg intervention arm median 29 iqr 22 53 transmitted bp readings per month 78 continuing use device regularly whereas 20 usual care group brought readings inperson visits median number telephone contacts triggered wireless monitoring 2 iqr 1 4 per patient groups significant improvement systolic bp p005 changes systolic bp fell median 13 mmhg monitored participants compared 85 mmhg usual care participants p comparison 031 conclusion lowcost wireless monitoring strategy led greater sharing data patients clinic produced trend toward improvements bp control usual care 6 months