Emergency high blood pressure treatment at home
Pro Research Analysisby 
Searched over 200M research papers
Consensus Meter
Emergency High Blood Pressure Treatment at Home
Introduction to Home-Based Blood Pressure Management
High blood pressure, or hypertension, is a prevalent condition that can lead to severe health complications if not managed properly. While emergency departments often handle acute cases, managing high blood pressure at home is crucial for long-term health. Recent studies have explored various home-based interventions to control blood pressure effectively.
Home Blood Pressure Monitoring and Telehealth
Telemonitoring for Post-ED Discharge
Home blood pressure telemonitoring (HBPTM) has shown promise in managing patients discharged from the emergency department (ED) with elevated blood pressure. A study involving 50 participants demonstrated that HBPTM significantly improved blood pressure control over three months, with 66% of participants achieving target BP control. The study also reported high patient satisfaction and adherence to the telemonitoring protocol, suggesting that HBPTM is a feasible and effective strategy for managing hypertension post-ED discharge.
Digital Interventions for Self-Management
The Home and Online Management and Evaluation of Blood Pressure (HOME BP) trial tested a digital intervention combining self-monitoring with guided self-management. Participants using the digital intervention showed a significant reduction in systolic blood pressure compared to those receiving usual care. The intervention provided feedback and lifestyle advice, which helped patients manage their condition more effectively .
Nurse-Led Interventions
Augmented Home Care
A study focusing on high-risk African-American patients with uncontrolled hypertension found that a nurse-led intervention significantly improved blood pressure control. The intervention included additional hypertension medication review and patient self-management support over three months. This approach led to an 8.3 mmHg reduction in systolic blood pressure and increased the proportion of patients achieving a 20 mmHg reduction in systolic BP by 16.4 percentage points.
Home Monitoring Services
Automated Telecommunication Systems
A study involving 121 adults with uncontrolled high blood pressure evaluated a home monitoring service that transmitted BP readings to patients and their doctors via telephone lines. This system led to a significant decrease in blood pressure, particularly among African-American patients. The frequent monitoring prompted timely adjustments in medication, contributing to better blood pressure control.
Pilot Trials in Specific Populations
Hemodialysis Patients
A pilot trial compared the effectiveness of treating home versus pre-dialysis blood pressure in hemodialysis patients. The study found high adherence to home BP measurement and treatment, with no significant increase in adverse events. This suggests that home BP monitoring is a viable option for managing hypertension in hemodialysis patients, warranting further large-scale studies.
Conclusion
Home-based interventions, including telemonitoring, digital self-management tools, and nurse-led programs, have shown significant potential in managing high blood pressure effectively. These strategies not only improve blood pressure control but also enhance patient satisfaction and adherence. As technology and healthcare practices evolve, integrating these home-based approaches into routine care could significantly reduce the burden of hypertension and its associated complications.
Sources and full results
Most relevant research papers on this topic