Cloud BP System Integrated With CPOE Improves Self-Management of the Hypertensive Patients: A Randomized Controlled Trial Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 382
- 主要终点
- The proportion of patients with controlled BP (<140/90 mm Hg)
研究概览
简要总结
Importance: Less than fifty percent of patients with hypertensive disease manage to maintain their blood pressure (BP) within normal levels. Practical (Pragmatic) and sustainable models are needed in order to improve BP management in patients with hypertension.
Objective: To evaluate whether cloud BP system integrated with computerized physician order entry (CPOE) is useful for improving BP management as compared with traditional care.
详细描述
Design, Setting and Patients: A randomized clinical trial study of 382 adults recruited from 786 patients who had been diagnosed with hypertension and receiving treatment for hypertension in two district hospitals in the north of Taiwan. Physicians had access to cloud-based BP data from CPOE. Neither participants nor investigators were blinded to group assignment. The study was conducted for a period of seven months.
Interventions: Patients from two hospitals were randomized into a control group which received traditional care (n=212) and an intervention group (n=170) which received a cloud-based home BP monitoring device. The device measured and transmitted BP data to the cloud server, which was integrated with the CPOE system in the hospitals. Physicians could access the BP data during the patient encounter to adjust the antihypertensive therapy accordingly. Meanwhile, patients could browse their own BP data from their computers, smart phones, tablets and so on.
Primary Outcome(s) and Measure(s): The primary outcomes were control of systolic BP to less than 140 mm Hg and diastolic BP to less than 90 mm Hg at two, four and six months. The secondary outcomes were changes in BP and antihypertensive drug prescription at two, four and six months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Secondary hypertension
- •Expectant mother
- •Stroke, myocardial infarction or had surgery within 3 months
- •Atrial fibrillation
- •Inter-arm difference (IAD) >20 mm Hg
- •Unsuitability as recognized by physicians.
排除标准
- •Unable to participate in this trial for the whole process
- •Lived alone and unable to read Text Message
结局指标
主要结局
The proportion of patients with controlled BP (<140/90 mm Hg)
时间窗: Patients who participated in this trial will be followed for an expected average of 6 months
次要结局
- The changes in BP and antihypertensive drug prescription(Patients who participated in this trial will be followed for an expected average of 6 months)