Evidence map›Paper›PMID 18353175›Full record

ArticleTrials2008

Community based trial of home blood pressure monitoring with nurse-led telephone support in patients with stroke or transient ischaemic attack recently discharged from hospital.

Sally Kerry, Hugh Markus, Teck Khong, Reena Doshi, Rachel Conroy, Pippa Oakeshott

2 registry-linked trialsAbstract read
In one paragraph

Article in Trials, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00514800 phase3completednot on this map

Community Based Trial of Home Blood Pressure Monitoring With Nurse Led Support in Patients With Stroke or TIA Recently Discharged From Hospital

TypeinterventionalSponsorSt George's, University of LondonRan2007 to 2009Enrolled360ConditionsStroke, Ischemic Attack, TransientArmsIntervention - a validated home BP monitor and support from the specialist nurse, Control - usual care (BP monitoring by their practice)
NCT03712033 completednot on this mapstarted 2018, after this paper: background citation

TEC4Home Stroke - Assessing the Feasibility of Home Telemonitoring Technology in Managing Hypertension Among Stroke/TIA Patients. Pilot Study at Vancouver Stroke Program in Collaboration With TEC4Home Heart Failure Team

TypeobservationalSponsorVancouver Coastal Health Research InstituteRan2018 to 2019Enrolled50ConditionsHypertension, Stroke, Blood Pressure, High, Systolic Hypertension
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Stroke patients' perceptions of home blood pressure monitoring: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Trial
  5. Article
  6. Article
  7. Article
  8. Use of evidence in hypertension guidelines.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sally KerryCommunity Health Sciences, St George's, University of London, London, UK. s.kerry@sgul.ac.uk
Hugh Markus
Teck Khong
Reena Doshi
Rachel Conroy
Pippa Oakeshott

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh blood pressure in patients with stroke increases the risk of recurrence but management in the community is often inadequate. Home blood pressure monitoring may increase patients' involvement in their care, increase compliance, and reduce the need for patients to attend their General Practitioner if blood pressure is adequately controlled. However the value of home monitoring to improve blood pressure control is unclear. In particular its use has not been evaluated in stroke patients in whom neurological and cognitive ability may present unique challenges.

designCommunity based randomised trial with follow up after 12 months.

participants360 patients admitted to three South London Stroke units with stroke or transient ischaemic attack within the past 9 months will be recruited from the wards or outpatients and randomly allocated into two groups. All patients will be visited by the specialist nurse at home at baseline when she will measure their blood pressure and administer a questionnaire. These procedures will be repeated at 12 months follow up by another researcher blind as to whether the patient is in intervention or control group.

interventionINTERVENTION patients will be given a validated home blood pressure monitor and support from the specialist nurse. Control patients will continue with usual care (blood pressure monitoring by their practice). Main outcome measures in both groups after 12 months: 1. Change in systolic blood pressure.2. Cost effectiveness: Incremental cost of the intervention to the National Health Service and incremental cost per quality adjusted life year gained.

trial registrationClinical Trials.gov registration NCT00514800.

Identifiers

PMID18353175
PMCPMC2294111

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.