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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.

Kerry, S; Markus, H; Khong, T; Doshi, R; Conroy, R; Oakeshott, P (2008) 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. TRIALS, 9 (15). ISSN 1745-6215 https://doi.org/10.1186/1745-6215-9-15
SGUL Authors: Kerry, Sally Margaret Khong, Teck Kean Markus, Hugh Stephen Oakeshott, Philippa

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Abstract

BACKGROUND: High 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. DESIGN: Community based randomised trial with follow up after 12 months. PARTICIPANTS: 360 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. INTERVENTION: INTERVENTION 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.

Item Type: Article
Additional Information: PubMed ID: 18353175 © 2008 Kerry et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Science & Technology, Life Sciences & Biomedicine, Medicine, Research & Experimental, Research & Experimental Medicine, RANDOMIZED CONTROLLED-TRIAL, COST-EFFECTIVENESS, PRIMARY-CARE, HEART-DISEASE, HYPERTENSION, PREVENTION
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Biomedical Education (INMEBE)
Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: TRIALS
ISSN: 1745-6215
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Dates:
DateEvent
19 March 2008Published
Web of Science ID: WOS:000255477200002
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URI: https://openaccess.sgul.ac.uk/id/eprint/525
Publisher's version: https://doi.org/10.1186/1745-6215-9-15

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