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CoCo trial: Color-coded blood pressure Control, a randomized controlled study

机译：Coco试验：色彩编码血压控制，随机对照研究

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Background: Inadequate blood pressure (BP) control is a frequent challenge in general practice. The objective of this study was to determine whether a color-coded BP booklet using a traffic light scheme (red, >180?mmHg systolic BP and/or >110?mmHg diastolic BP; yellow, >140–180?mmHg systolic BP or >90–110?mmHg diastolic BP; green, ≤140?mmHg systolic BP and ≤90?mmHg diastolic BP) improves BP control and adherence with home BP measurement.Methods: In this two-group, randomized controlled trial, general practitioners recruited adult patients with a BP >140?mmHg systolic and/or >90?mmHg diastolic. Patients in the control group received a standard BP booklet and the intervention group used a color-coded booklet for daily home BP measurement. The main outcomes were changes in BP, BP control (treatment goal <140/90?mmHg), and adherence with home BP measurement after 6?months.Results: One hundred and twenty-one of 137?included patients qualified for analysis. After 6?months, a significant decrease in systolic and diastolic BP was achieved in both groups, with no significant difference between the groups (16.1/7.9?mmHg in the intervention group versus 13.1/8.6?mmHg in the control group, P=0.3/0.7). BP control (treatment target <140/90?mmHg) was achieved significantly more often in the intervention group (43% versus 25%; P=0.037; number needed to treat of 5). Adherence with home BP measurement overall was high, with a trend in favor of the intervention group (98.6% versus 96.2%; P=0.1)Conclusion: Color-coded BP self-monitoring significantly improved BP control (number needed to treat of 5, meaning that every fifth patient utilizing color-coded self-monitoring achieved better BP control after 6?months), but no significant between-group difference was observed in BP change. A markedly higher percentage of patients achieved BP values in the normal range. This simple, inexpensive approach of color-coded BP self-monitoring is user-friendly and applicable in primary care, and should be implemented in the care of patients with arterial hypertension.
机译：背景：血压不足（BP）控制是一般练习的频繁挑战。本研究的目的是确定使用交通灯方案（红色，> 180毫升收缩型BP和/或> 110吗？MMHG舒张BP;黄色，> 140-180？MMHG收缩型BP或> 90-110？mmhg舒张型bp;绿色，≤140？mmhg收缩型Bp和≤90？mmhg舒张压bp）改善了BP控制和与家庭BP测量的粘附。方法：在这两个组，随机对照试验中，招聘一般从业者成年患者具有BP> 140？MMHG收缩和/或90？MMHG舒张。对照组的患者接收了标准BP手册，干预组使用了每日家用BP测量的颜色编码的小册子。主要结果是BP，BP控制（治疗目标<140/90？MMHG）的变化，并在6个月后与家庭BP测量的遵守依赖于7月。结果：137人中的一百：包括有资格分析的患者。 6℃以下后，在两组中实现了收缩性和舒张性BP的显着降低，组之间没有显着差异（16.1 / 7.9？中，干预组，对照组中的13.1 / 8.6？mmHg，p = 0.3 / 0.7）。 BP对照（治疗目标<140/90？mmHg）在干预组中更常见地实现（43％对25％; P = 0.037;治疗5的数量）。遵守家庭BP测量的总体上很高，具有趋势，有利于干预组（98.6％与96.2％; P = 0.1）结论：颜色编码的BP自我监测显着改善了BP控制（治疗5的数量，5，意味着利用颜色编码自我监测的每五名患者在6？个月后获得更好的BP控制，但在BP变化中没有观察到的组差异。显着较高的患者在正常范围内实现了BP值。这种简单，廉价的色彩编码BP自我监控方法是用户友好的，适用于初级保健，并应在动脉高压患者的护理中实施。

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