Telehealth intervention reduces BP in minority stroke surviv
An intervention including home BP telemonitoring plus nurse case management lowered BP more than home BP telemonitoring alone in minority stroke survivors, according to findings presented at the International Stroke Conference.

The study population with an average patient age of 62 years, 44% of women, 45% obese and 48% diabetes diagnosis are subjected to home BP telemonitoring alone that consisted of home BP readings 3 days per week for 12 months. BP reports were sent to patients and physicians for 12 months. And another group subjected to Home BP telemonitoring plus nurse case management that consisted of 20 counseling calls with a nurse who reviewed the BP reports and offered lifestyle counseling. All patients had systolic BP of at least 140 mm Hg on two readings prior to randomization.

At 12 months, compared to baseline, the dual intervention group experienced a 14 mmHg drop in systolic BP vs a 5 mmHg decrease in the telemonitoring only group.
“Systolic BP declined in both groups at 6 and 12 months but the between-group difference favored the intervention group (6-month estimate, –7.32 mm Hg; standard error, 1.72; P < .0001; 12-month estimate, –9.24 mm Hg; standard error, 1.75; P < .0001)”, study author Gbenga Ogedegbe, said during his presentation.

“The findings are particularly noteworthy because the study population had multiple health and socioeconomic risk factors. We strongly believe that these findings provide strong empirical evidence for the widespread implementation of these strategies in low-income, minority stroke survivors with multiple comorbidities." according to study author at a late-breaking abstract session at the International Stroke Conference (ISC) 2020.