An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension

Following the coronavirus disease-2019 pandemic, this study aimed to evaluate the overall effects of remote blood pressure monitoring (RBPM) for urban-dwelling patients with hypertension and high accessibility to healthcare and provide updated quantitative summary data. Of 2721 database-searched art...

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Published inInternational journal of environmental research and public health Vol. 18; no. 20; p. 10583
Main Authors Park, Sang-Hyun, Shin, Jong-Ho, Park, Joowoong, Choi, Woo-Seok
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 09.10.2021
MDPI
Subjects
Bias
Blood pressure
Cardiology
Cellular telephones
Collaboration
Confidence intervals
Coronaviruses
COVID-19
Disease prevention
Disease transmission
Health care
Hypertension
Intervention
Meta-analysis
Mortality
Pandemics
Patients
Pressure effects
Remote monitoring
Review
Telemedicine
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Summary:Following the coronavirus disease-2019 pandemic, this study aimed to evaluate the overall effects of remote blood pressure monitoring (RBPM) for urban-dwelling patients with hypertension and high accessibility to healthcare and provide updated quantitative summary data. Of 2721 database-searched articles from RBPM’s inception to November 2020, 32 high-quality studies (48 comparisons) were selected as primary data for synthesis. A meta-analysis was undertaken using a random effects model. Primary outcomes were changes in office systolic blood pressure (SBP) and diastolic blood pressure (DBP) following RBPM. The secondary outcome was the BP control rate. Compared with a usual care group, there was a decrease in SBP and DBP in the RBPM group (standardized mean difference 0.507 (95% confidence interval [CI] 0.339–0.675, p < 0.001; weighted mean difference [WMD] 4.464 mmHg, p < 0.001) and 0.315 (CI 0.209–0.422, p < 0.001; WMD 2.075 mmHg, p < 0.001), respectively). The RBPM group had a higher BP control rate based on a relative ratio (RR) of 1.226 (1.107–1.358, p < 0.001). RBPM effects increased with increases in city size and frequent monitoring, with decreases in intervention duration, and in cities without medically underserved areas. RBPM is effective in reducing BP and in achieving target BP levels for urban-dwelling patients with hypertension.
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These authors contributed equally to this work.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph182010583