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首页> 外文期刊>The journal of clinical hypertension. >A randomized controlled trial of an automated telephone intervention to improve blood pressure control
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A randomized controlled trial of an automated telephone intervention to improve blood pressure control

机译:自动电话干预改善血压控制的随机对照试验

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摘要

The objective of this study was to evaluate the effectiveness of a telephonic outreach program to improve blood pressure (BP) control among patients with hypertension. The authors identified adults 18 years and older with uncontrolled BP within the previous 12 months. Patients received either an automated telephone call advising them to have a walk-in BP check (n=31,619) or usual care (n=33,154). The primary outcome was BP control at 4 weeks. Significantly more patients who received the intervention achieved BP control compared with the usual care group (32.5% vs 23.7%; P < .0001). Patients in the intervention arm with cardiovascular disease, chronic kidney disease, or diabetes mellitus achieved better BP control. Older age, female sex, and having a household income above the median were associated with BP control. When designing quality-improvement interventions to increase BP control rates, health care organizations should consider utilizing an automated telephone outreach campaign.
机译:这项研究的目的是评估电话外展计划在改善高血压患者中控制血压(BP)的有效性。作者确定了在过去12个月内18岁及以上的血压不受控制的成年人。患者收到自动电话通知,建议他们进行步入式BP检查(n = 31,619)或常规护理(n = 33,154)。主要结果是在4周时控制BP。与常规护理组相比,接受干预的患者显着更多地达到了血压控制(32.5%vs 23.7%; P <.0001)。患有心血管疾病,慢性肾脏疾病或糖尿病的介入治疗患者可更好地控制血压。老年人,女性和家庭收入高于中位数与血压控制有关。在设计质量改善干预措施以提高BP控制率时,医疗保健组织应考虑利用自动电话宣传活动。

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