Healthcare Management: News. Views. Education

4 . 2023

Results of using remote monitoring of blood pressure through the patients of working age

Abstract

The widespread prevalence of arterial hypertension in the Russian Federation, and also throughout the world, forces researchers to seek new approaches to improving medical care aimed at reducing morbidity, disability and mortality from cardiovascular diseases. The number of studies aimed at learning the results of remote monitoring of blood pressure, its medical and organizational effectiveness, has been recently increasing.

Our research was conducted between 2019 and 2022 in outpatient conditions to evaluate the results of remote monitoring of blood pressure. By the middle of the median observation period, 86% of patients had arterial pressure reached the target values (120–129 and 80–84 mm Hg) regardless of gender, age and degree of arterial hypertension.

The obtained data were analyzed using statistical methods, in order to confirm the medical effectiveness within the framework of the proposed organizational approaches and risk assessment, which are successfully applied in practice.

Keywords:remote monitoring of blood pressure; outpatient conditions; arterial hypertension; pre-hospital stage

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

Contribution. Analysis of the data obtained, literature review, making final edits – Fedotkina S.A.; collection and processing of materials – Kuvakin V.I.; concept and design of the study, collection and processing of materials, writing the text – Khugaeva E.V.

For citation: Fedotkina S.A., Kuvakin V.I., Khugaeva E.V. Results of using remote monitoring of blood pressure through the patients of working age. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2023; 9 (4): 87–97. DOI: https://doi.org/10.33029/2411-8621-2023-9-4-87-97 (in Russian)

References

1. Chazova I.E., Oshchepkova E.V., Zhernakova Yu.V., et al. Clinical recommendations. Diagnosis and treatment of arterial hypertension. Kardiologicheskiy vestnik [Cardiological Bulletin]. 2015; 10 (1): 3–30. (in Russian)

2. Clinical guidelines «Arterial hypertension in adults» (approved by the Ministry of Health of Russia). The document was provided by ConsultantPlus. URL: www.consultant.ru (date of access May 07, 2023). (in Russian)

3. Boytsov S.A., Efremova Yu.E., Lazareva N.V., Dolgusheva Yu.A., Sorokin E.V. Ways to improve outpatient medical care for cardiovascular diseases. Natsional’noe zdravookhranenie [National Health Care]. 2021; 2 (4): 5–11. DOI: https://doi.org/10.47093/2713-069X.2021.2.4.5-11 (in Russian)

4. Fedotkina S.A., Akhmineeva A.Kh., Karaylanov M.G. Best practices for using telemedicine technologies in the Russian Federation and abroad. Siberian Journal of Life Sciences and Agriculture. 2023; 15 (3): 295–312. DOI: https://doi.org/10.12731/2658-6649-2023-15-3-295-312 (in Russian)

5. Fedotkina S.A., Khugaeva E.V. Awareness of the population about cardiovascular factors in the development of diseases as a result of the application of a population strategy. Siberian Journal of Life Sciences and Agriculture. 2023; 15 (2): 178–94. DOI: https://doi.org/10.12731/2658-6649-2023-15-2-178-194 (in Russian)

6. Fedotkina S.A., Khugaeva E.V. Causes and incidence of complications of risk factors for the development of cardiovascular diseases among the working population. Vestnik Sankt-Peterburgskogo universiteta. Meditsina [Bulletin of Saint Petersburg University. Medicine]. 2022; 17 (4): 281–94. DOI: https://doi.org/10.21638/spbu11.2022.404 (in Russian)

7. Oleynikov V.E., Salyamova L.I., Fadeeva S.S., Dzhazovskaya I.N. Remote blood pressure monitoring in patients with arterial hypertension during a 24-week pharmacotherapy. Profilakticheskaya meditsina [Preventive Medicine]. 2019; 22 (4): 77–84. (in Russian)

8. Forouzanfar M., Liu P., Roth G., et al. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mmHg, 1990–2015. JAMA. 2017; 317 (2): 165–82. DOI: https://doi.org/10.1001/jama.2016.19043

9. Posnenkova O.M., Korotin A.S., Kiselev A.R., Gridnev V.I. Assessing the effectiveness of remote blood pressure monitoring technology in patients with arterial hypertension based on indicators of compliance with clinical recommendations. Kachestvo v kardiologii [Quality in Cardiology]. 2015; (2): 1–5. (in Russian)

10. Ionov M.V., Yudina Yu.S., Avdonina N.G., et al. Patient-oriented approach to assessing the effectiveness of blood pressure telemonitoring and remote counseling for arterial hypertension: a pilot project. Arterial’naya gipertenziya [Arterial Hypertension]. 2018; 24 (1): 15–28. DOI: https://doi.org/10.18705/1607-419X-2018-24-1-15-28 (in Russian)

11. Omboni S., Gazzola T., Carabelli G., Parati G. Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: meta-analysis of randomized controlled studies. J Hypertens. 2013; 31 (3): 455–67. DOI: https://doi.org/10.1097/HJH.0b013e32835ca8dd

12. Shalansky S.J., Levy A.R., Ignaszewski A.P. Self-reported Morisky Score for identifying nonadherence with cardiovascular medications. Ann Pharmacother. 2004; 38: 1363–8. DOI: https://doi.org/10.1345/aph.1E071

13. Guliev Ya.I., Gulieva I.F., Ryumina E.V., et al. An approach to assessing the economic efficiency of medical information systems. Menedzher zdravookhraneniya [Health Care Manager]. 2013; (4): 27–37. (in Russian)

14. Kontsevaya A.V., Komkov D.S., Boytsov S.A. Modeling as a method for assessing the economic feasibility of remote blood pressure monitoring at the regional level. Zdravookhranenie Rossiyskoy Federatsii [Health Care of the Russian Federation]. 2017; (1): 10–6. (in Russian)

15. Omboni S., Caserini M., Coronetti C. Telemedicine and M-health in hypertension management: technologies, applications and clinical evidence. High Blood Press Cardiovasc Prev. 2016; 23 (3): 187–96. DOI: https://doi.org/10.1007/s40292-016-0143-6

16. Stoddart A., Hanley J., Wild S., et al. Telemonitoring-based service redesign for the management of uncontrolled hypertension (HITS): cost and cost effectiveness analysis of a randomised controlled trial. BMJ Open. 2013; 3 (5). DOI: https://doi.org/10.1136/bmjopen-2013-002681

17. Fedotkina S.A., Akhmineeva A.Kh., Karaylanov M.G. Best practices for using telemedicine technologies in the Russian Federation and abroad. Siberian Journal of Life Sciences and Agriculture. 2023; 15 (3): 295–312. (in Russian)

18. Nasledov, A.D. SPSS 19: professional statistical data analysis. Saint Petersburg: Piter, 2011: 399 p. (in Russian)

19. Lang T.A., Cesik M. How to describe statistics in medicine. A guide for authors, editors and reviewers. Transl. from English. In: V.P. Leonov (ed.). Moscow: Practicheskaya meditsina, 2011: 477 p. (in Russian)

20. Suvorov A.Yu., Latushkina I.V., Gulyaeva K.A., Bulanov N.M., Nadinskaya M.Yu., Zaikin A.A. Basic aspects of meta-analysis. Part 1. Sechenovskiy vestnik [Sechenov bulletin]. 2023; 14 (1): 4–14. DOI: https://doi.org/10.47093/2218-7332.2023.14.1.4-14 (in Russian)

21. Methodological recommendations for assessing the scientific validity of information included in clinical recommendations [Electronic resource]. URL: https://webmed.irkutsk.ru/doc/pdf/recmethod.pdf (date of access May 07, 2023). (in Russian)