Observational studyJournal of human hypertension2018
Difficult-to-control hypertension: identification of clinical predictors and use of ICT-based integrated care to facilitate blood pressure control.
Observational study in Journal of human hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Barriers, Enablers and Strategies for the Treatment and Control of Hypertension in Nepal: A Systematic Review.Frontiers in cardiovascular medicine · 2021Pooled it
- Remote Patient Monitoring Program Components and Short-Term Hypertension Control: Retrospective Cohort Study.JMIR mHealth and uHealth · 2026Article
- Subclinical left ventricular dysfunction assessed by global longitudinal strain correlates with mild cognitive impairment in hypertensive patients.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Factors associated with a higher need for antihypertensive medications at 12-months in postkidney transplant recipients: a retrospective cohort study.Annals of medicine and surgery (2012) · 2023Article
- Uncontrolled blood pressure and associated factors in adult hypertensive patients undergoing follow-up at public health facility ambulatory clinics in Bishoftu town, Ethiopia: a multi-center study.BMC cardiovascular disorders · 2023Article
- Artificial Intelligence in Hypertension Management: An Ace up Your Sleeve.Journal of cardiovascular development and disease · 2023Review
- "Medical Assistance in Contextual Awareness" (AMICO): A Project for a Better Quality of Care for Patients in Cardiac Rehabilitation Unit.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022Article
- Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study.SAGE open medicine · 2022Article
- Digitally Enabled Health Service for the Integrated Management of Hypertension: A Participatory User-Centred Design Process.International journal of environmental research and public health · 2021Article
- Low Awareness of Cardiovascular Risk Factor Among Patients Admitted in Cardiac Rehabilitation Unit.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021Article
- Team-Based Care for Improving Hypertension Management: A Pragmatic Randomized Controlled Trial.Frontiers in cardiovascular medicine · 2021Article
- "One Health" Approach for Health Innovation and Active Aging in Campania (Italy).Frontiers in public health · 2021Review
- Rationale, Design, and Implementation of Intensive Risk Factor Treatment in the CREST2 Trial.Stroke · 2020Article
- Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases.Primary health care research & development · 2020Article
- Serum Uric Acid and Left Ventricular Mass in Essential Hypertension.Frontiers in cardiovascular medicine · 2020Article
- Hypertension and Drug Adherence in the Elderly.Frontiers in cardiovascular medicine · 2020Review
- Creating a Culture of Health in Planning and Implementing Innovative Strategies Addressing Non-communicable Chronic Diseases.Frontiers in sociology · 2019Review
- Editorial: Multi-Actor Collaboration in Healthcare to Address the Emerging Health Needs of an Aging Population.Translational medicine @ UniSaArticle
- Innovative Approaches to Active and Healthy Ageing: Campania Experience to Improve the Adoption of Innovative Good Practices.Translational medicine @ UniSaArticle
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Difficult-to-control (DTC) hypertension represents a burden in real life that can be partially solved through identification of the characteristics of clinical patterns and tailoring antihypertensive strategies, including ICT-enabled integrated care (ICT-IC). In the quest for clinical predictors of DTC hypertension, we screened 482 hypertensive patients who were consecutively referred to the departmental hypertension clinic. Following a data quality check, patients were divided into controlled (C, 49.37%) and uncontrolled (UC, 50.63%) groups based on their systolic blood pressure (BP) at follow-up. We then performed statistical analysis on the demographic, clinical, laboratory, and ultrasound data and observed that older age, female sex, higher BP levels, and a family history of hypertension were predictors of DTC hypertension. We then developed a pilot service of ICT-IC, including weekly home visits by nurses and patient education on self-monitoring of BP, heart rate, body weight, and oxygen saturation using 3G-connected devices. Self-monitored data were transmitted to the hospital servers on the electronic chart of the patient for remote assessment by the hospital hypertension specialists. A total of 20 UC patients (M/F = 10/10; age: 72.04 ± 2.17 years) were enrolled to verify the efficacy of BP control without changes in medical treatment. After 1 month of the ICT-IC program, BP was reduced both at the office assessment (systolic BP (SBP): 162.40 ± 2.23 mm Hg, beginning of the program vs. 138.20 ± 4.26 mm Hg at 1 month, p < 0.01) and at home (SBP: 149.83 ± 3.44, beginning of the program vs. 134.16 ± 1.67 mm Hg at 1 month, p < 0.01). We concluded that DTC hypertension can be predicted based on the clinical characteristics at the first visit. For these patients, ICT-IC is a feasible therapeutic strategy to achieve BP control.
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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.