Effect of Home Blood Pressure Telemonitoring and Pharmacist Management on Blood Pressure ControlA Cluster Randomized Clinical Trial

Effect of Home Blood Pressure Telemonitoring and Pharmacist Management on Blood Pressure ControlA Cluster Randomized Clinical Trial

Por: Karen L. Margolis, MD, MPH; Stephen E. Asche, MA; Anna R. Bergdall, MPH; Steven P. Dehmer, PhD; Sarah E. Groen, PharmD; Holly M. Kadrmas, PharmD; Tessa J. Kerby, MPH; Krissa J. Klotzle, PharmD; Michael V. Maciosek, PhD; Ryan D. Michels, PharmD; Patrick J. O’Connor, MD, MPH; Rachel A. Pritchard, BA; Jaime L. Sekenski, BS; JoAnn M. Sperl-Hillen, MD; Nicole K. Trower, BA.  JAMA. 2013;310(1):46-56.

At baseline, enrollees were 45% women, 82% white, mean (SD) age was 61.1 (12.0) years, and mean systolic BP was 148 mm Hg and diastolic BP was 85 mm Hg. Blood pressure was controlled at both 6 and 12 months in 57.2% (95% CI, 44.8% to 68.7%) of patients in the telemonitoring intervention group vs 30.0% (95% CI, 23.2% to 37.8%) of patients in the usual care group (P = .001). At 18 months (6 months of postintervention follow-up), BP was controlled in 71.8% (95% CI, 65.0% to 77.8%) of patients in the telemonitoring intervention group vs 57.1% (95% CI, 51.5% to 62.6%) of patients in the usual care group (P = .003). Home BP telemonitoring and pharmacist case management achieved better BP control compared with usual care during 12 months of intervention that persisted during 6 months of postintervention follow-up. [Actualizado: 5 de agosto 2013].