Effectiveness of the intelligent hypertension excellence centers (iHEC) therapy model in the blood pressure management of older hypertensive patients: a randomized controlled trial
2024

iHEC Therapy Model for Managing Blood Pressure in Older Patients

Sample size: 540 publication 10 minutes Evidence: high

Author Information

Author(s): Jiang Yuqin, Zheng Lijun, Zhang Yunhe, Fan Zhen, Guo Jianshu, Yang Junling, Liu Peng, Xie Dili, Zhong Ping

Primary Institution: University of Electronic Science and Technology of China

Hypothesis

Intelligent hypertension excellence centers (iHEC) may improve blood pressure management in older hypertensive patients.

Conclusion

The iHEC therapy model led to better blood pressure reduction and higher control rates in older patients compared to conventional treatment.

Supporting Evidence

  • The intervention group had a 4.2 mmHg lower SBP than the control group.
  • The overall BP control rate was higher in the intervention group (60.2% vs. 48.1%).
  • The new-onset rate of excessive BP lowering was lower in the intervention group (3.8% vs. 9.0%).

Takeaway

This study shows that using a special app can help older people with high blood pressure manage their health better and avoid problems.

Methodology

A randomized controlled trial comparing an iHEC therapy model with conventional treatment over 12 months.

Potential Biases

Potential bias due to lack of blinding and allocation concealment.

Limitations

Lack of blinding, limited follow-up duration, and uncertain generalizability to other populations.

Participant Demographics

Average age 71.4 years, 38.3% female, mostly Han ethnicity.

Statistical Information

P-Value

P<0.001

Confidence Interval

95% CI, 2.0 to 6.4

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/s41440-024-01951-w

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