Applications and outcomes of implementing telemedicine for hypertension management in COVID-19 pandemic: A systematic review DOI Creative Commons

Mohammad Hosein Hayavi-haghighi,

Abdullah Gharibzade,

Niloofar Choobin

et al.

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(8), P. e0306347 - e0306347

Published: Aug. 1, 2024

Introduction COVID-19 presented a significant challenge for patients with hypertension in terms of access to care. However, telemedicine offered the healthcare system opportunities that had previously been underutilized. Therefore, this study aims systematically review applications and outcomes management during pandemic. Method A structured search was conducted accordance PRISMA guidelines across multiple databases, including PubMed, Cochrane, Web Science, Scopus. The limited studies published from December 2019 until May 2023, resulting total 3727 studies. After quality appraisal using CASP checklists version 2018, 29 articles were included final review. Data analysis performed thematic analysis. Results Most reviewed used proprietary platforms (N = 14) 11 public such as social messengers or email. Also 9 relied on phone calls 9) record transmit clinical data. Some applied two different approaches (proprietary/public phone). six (20.7%) focused only control, while 23 (79.3%) examined comorbidity other diseases. Also, identified 88 unique concepts, 15 initial themes, themes These include BP measurement recording, medication management, mental health, care continuity use acceptance. Conclusion Telemedicine provides opportunity engage medical consultations more convenient comfortable manner, same validity in-person visits. facilitates creation connected network support high at any time location. Limitations issues may arise due staff’s unfamiliarity telemedicine. can be resolved through ongoing continuous feedback.

Language: Английский

Prescription refill adherence before and after patient portal registration in General Practices in England using the Clinical Practice Research Datalink (CPRD): a longitudinal analysis (Preprint) DOI Creative Commons
Abrar Alturkistani, Thomas Beaney, Geva Greenfield

et al.

JMIR Medical Informatics, Journal Year: 2025, Volume and Issue: 13, P. e50294 - e50294

Published: Jan. 23, 2025

Abstract Background Patient portal use has been associated with improved patient health and adherence to medications, including statins. However, there is limited research on the association between registration outcomes such as statin prescription refill in context of National Health Service England, where portals have widely available since 2015. Objective We aimed explore among general practice patients England. Methods This study was approved by Clinical Practice Research Datalink Independent Scientific Advisory Committee (ID: 21_000411). used patient-level data from The included cardiovascular disease, diabetes, chronic kidney who were registered portal. primary aim investigate whether adherence, defined ≥80% based medication possession ratio, after registration. a multilevel logistic regression model compare aggregate 12 months before Results 44,141 study. analysis revealed 16% reduction odds (odds ratio [OR]: 0.84, 95% CI 0.81-0.86) compared fully adjusted for patient- practice-level variables. Conclusions evaluated Registering does not explain mechanisms underlying relationship health-related adherence. Although small observed, this disappeared when follow up time reduced 6 months. Given limitations study, cannot be entirely attributable may potential confounding factors influencing which should explored through future research.

Language: Английский

Citations

0
The impact of the COVID-19 pandemic on hypertension management in southeastern Poland: Challenges and adaptations for emergency medical teams DOI Creative Commons
Adrian Moskal, Sebastian Kowalski, Karolina Żak-Kowalska

et al.

Medicine, Journal Year: 2025, Volume and Issue: 104(19), P. e42416 - e42416

Published: May 9, 2025

The coronavirus disease 2019 (COVID-19) pandemic introduced unprecedented challenges to healthcare systems, disrupting the management of chronic conditions such as hypertension. This study examines impact COVID-19 on hypertension by emergency medical teams (EMTs) in southeastern Poland. A retrospective analysis was conducted using activity cards from EMTs included 1795 cases primary (International Classification Diseases, 10th Edition: I-10), comparing data pre-pandemic period (April 1, 2019–March 31, 2020) 2020–March 2021). Demographic characteristics, blood pressure measurements, pharmacological interventions, and transport decisions were analyzed Chi-square tests for categorical variables t-tests continuous variables. frequency hypertension-related calls remained stable between periods ( P = .805). Women accounted 68.6% (N 1232) cases, mean age patients 63.4 years (SD 15.2), with no significant or sex differences 2 periods. initial systolic (SBP) significantly higher before (189.85 mm Hg) compared during (185.57 Hg, < .001). proportion severe (SBP ≥ 180 decreased 70.7% 66.1%, while mild increased 5.3% 7.1% .046). administration hydroxyzine (38.2% vs 45.1%, .003), reflecting a greater focus managing anxiety-related symptoms. Additionally, treated more at scene rather than transporting them department (76.1% 62.4%, .001), indicating shift EMT decision-making reduce hospital exposure optimize resource allocation. altered prehospital hypertension, leading lower SBP readings, anxiolytic use, reduced rates. Age distribution across both These findings highlight need flexible response protocols that integrate mental health considerations enhance on-site management. Future research should assess long-term outcomes these adaptations explore strategies improve care future public emergencies.

Language: Английский

Citations

0
Medication adherence and associated factors in newly diagnosed hypertensive patients in Japan: the LIFE study DOI

Kumi Sagara,

Kenichi Gotō, Megumi Maeda

et al.

Journal of Hypertension, Journal Year: 2024, Volume and Issue: 42(4), P. 718 - 726

Published: Jan. 17, 2024

Hypertension is the leading cardiovascular risk factor worldwide. However, in Japan, only 30% of patients have their blood pressure controlled under 140/90 mmHg, and nonadherence to antihypertensives thought be a reason for poor control hypertension. We therefore sought assess adherence hypertension treatment evaluate factors influencing patients’ large, representative sample Japanese population. To this end, we analyzed claims data from LIFE Study database, which includes 112 506 adults with newly diagnosed Medication was measured year postdiagnosis using proportion days covered (PDC) method. Factors associated were also assessed. Among total hypertensive patients, rate (PDC ≤ 80%) during first after initiation 26.2%. Younger age [31–35 years: odds ratio (OR), 0.15; 95% confidence interval (95% CI), 0.12–0.19 compared 71–74-year-old patients], male gender, monotherapy, diuretics use [OR, 0.87; CI, 0.82–0.91 angiotensin II receptor blockers (ARBs)] present study. Cancer comorbidity (OR, 0.84; 0.79–0.91 no comorbidity), prescription at hospital, living medium-sized regional city adherence. Our findings showing current status antihypertensive medications its Japan should help improve control.

Language: Английский

Citations

3
A Mobile App-based Approach in Cardiovascular Disease Prevention: A Prospective Randomized Study DOI Creative Commons
Allegra Battistoni, Giuliano Tocci, Giovanna Gallo

et al.

High Blood Pressure & Cardiovascular Prevention, Journal Year: 2024, Volume and Issue: 31(1), P. 93 - 96

Published: Feb. 28, 2024

Cardiovascular risk factors are prevalent in the Italian population, and cardiovascular diseases remain a leading cause of mortality Western world. As incidence increases with age, effective early prevention management strategies crucial. This study aims to evaluate feasibility potential benefits using Heartaway® mobile application as an additional intervention standard clinical care for patients hypertension. The will explore improvements blood pressure control, medication adherence, factors, lifestyle habits, outcomes. results this may contribute broader integration telemedicine into disease practice.

Language: Английский

Citations

2
Assessing the impact of telemedicine interventions on systolic and diastolic blood pressure reduction: A systematic review and meta-analysis DOI
Khadijeh Moulaei, Peyvand Parhizkar Roudsari,

Adel Shahrokhi Sardoo

et al.

Journal of Telemedicine and Telecare, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 10, 2024

Hypertension, characterized by high blood pressure, poses a significant risk for cardiovascular diseases, stroke, and heart attack. Managing it is particularly challenging in areas with limited healthcare access patients who cannot attend regular in-person visits. Telemedicine interventions offer promising solution improving patient adherence facilitating timely treatment adjustments. This study aims to systematically evaluate the impact of these telemedicine on reducing systolic diastolic pressure.

Language: Английский

Citations

1
New Guidelines for Hypertension Diagnosis and Treatment: An European Perspective DOI Creative Commons

Guido Grassi

Reviews in Cardiovascular Medicine, Journal Year: 2024, Volume and Issue: 25(2), P. 55 - 55

Published: Feb. 4, 2024

IMR Press is a leading publisher of open access peer-reviewed biomedical and life sciences journals. We aim to facilitate the dissemination high-quality research in area science. With long tradition wide readership, dedicated making positive contributions academics, corporate libraries as well readers authors. All editors will provide best service for researchers, allowing them have easy smooth publication experience helping maximize impact visibility their research.

Language: Английский

Citations

0
Nursing Counseling in Patients Recently Admitted in Cardiac Rehabilitation Unit: A Pilot Study-Brief Letter for Publication DOI
Ilaria Fucile,

Filomena Attanasio,

Maurizio Conte

et al.

High Blood Pressure & Cardiovascular Prevention, Journal Year: 2024, Volume and Issue: 31(2), P. 221 - 223

Published: April 1, 2024

Language: Английский

Citations

0
Applications and outcomes of implementing telemedicine for hypertension management in COVID-19 pandemic: A systematic review DOI Creative Commons

Mohammad Hosein Hayavi-haghighi,

Abdullah Gharibzade,

Niloofar Choobin

et al.

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(8), P. e0306347 - e0306347

Published: Aug. 1, 2024

Introduction COVID-19 presented a significant challenge for patients with hypertension in terms of access to care. However, telemedicine offered the healthcare system opportunities that had previously been underutilized. Therefore, this study aims systematically review applications and outcomes management during pandemic. Method A structured search was conducted accordance PRISMA guidelines across multiple databases, including PubMed, Cochrane, Web Science, Scopus. The limited studies published from December 2019 until May 2023, resulting total 3727 studies. After quality appraisal using CASP checklists version 2018, 29 articles were included final review. Data analysis performed thematic analysis. Results Most reviewed used proprietary platforms (N = 14) 11 public such as social messengers or email. Also 9 relied on phone calls 9) record transmit clinical data. Some applied two different approaches (proprietary/public phone). six (20.7%) focused only control, while 23 (79.3%) examined comorbidity other diseases. Also, identified 88 unique concepts, 15 initial themes, themes These include BP measurement recording, medication management, mental health, care continuity use acceptance. Conclusion Telemedicine provides opportunity engage medical consultations more convenient comfortable manner, same validity in-person visits. facilitates creation connected network support high at any time location. Limitations issues may arise due staff’s unfamiliarity telemedicine. can be resolved through ongoing continuous feedback.

Language: Английский

Citations

0