Self-monitoring Blood Pressure After Stroke: TASMIN5S Trial
Author Information
Author(s): McManus R. J., Smith A., Temple E., Yu L. M., Allen J., Doogue R., Ford G. A., Glynn L., Guthrie B., Hall P., Hinton L., Hobbs F. D. R., Mant J., McKinstry B., Mead G., Morton K., Rai T., Rice C., Roman C., Stoddart A., Tarassenko L., Velardo C., Williams M., Yardley L.
Primary Institution: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
Hypothesis
Does self-monitoring of hypertension with telemonitoring and a treatment escalation protocol result in lower blood pressure than usual care in people with previous stroke or transient ischaemic attack?
Conclusion
The trial showed that self-monitoring of blood pressure is feasible for stroke patients, but the study was terminated early, preventing definitive conclusions about its efficacy.
Supporting Evidence
- 129 patients responded to invitations, with 55 randomised before the trial was paused.
- 93% of participants in the intervention group used the self-monitoring system for 7 or more months.
- Routinely recorded blood pressure improved in both intervention and control groups.
Takeaway
This study looked at whether people who had a stroke could lower their blood pressure by checking it themselves with help from a digital tool. It found that many people used the tool, but the study had to stop early.
Methodology
An unblinded randomised controlled trial comparing a BP telemonitoring-based intervention with usual care for hypertension management in primary care.
Potential Biases
The trial was unblinded, which may have influenced blood pressure measurements.
Limitations
The trial was terminated early due to funding withdrawal, preventing the collection of the primary outcome data.
Participant Demographics
Mean age was 74 years, 44% female, 98% white ethnicity, with 38% having had a stroke and 62% a TIA.
Digital Object Identifier (DOI)
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