| Title: |
Abstract 4369126: Clinical Improvements from Remote Patient Monitoring Regress After Discontinuation and Resume Upon Reinitiation |
| Authors: |
Flanagan, Craig; Osborne, Olivia; Colbert, Brett; Smith, Wesley |
| Source: |
Circulation ; volume 152, issue Suppl_3 ; ISSN 0009-7322 1524-4539 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2025 |
| Description: |
Background: Remote patient monitoring (RPM) is used to manage hypertension, but its long-term effects, especially after breaks in monitoring, are not well characterized. It remains unclear whether systolic blood pressure (SBP) improvements achieved during RPM persist following a leave of absence (LOA) and whether re-initiation can restore prior gains. Hypothesis: Discontinuing RPM will cause SBP to regress toward pre-intervention levels while re-initiating RPM will reinstate SBP reductions like those seen during the initial engagement. Methods: We identified 9,942 Medicare beneficiaries (baseline SBP ≥ 130 mm Hg or DBP ≥ 80 mm Hg) who participated in an initial RPM period (“Initiation”) and then re-enrolled after a ≥ 60 day LOA (“Reinitiation”). For each period, we calculated monthly mean SBP from the average of the first seven home readings up to 10 months. Results: During the Initiation period, mean SBP fell markedly from 140.8 ± 14.9 mmHg in Month 1 to 134.6 ± 13.7 mm Hg by Month 10 (–6.2 mmHg; p |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1161/circ.152.suppl_3.4369126 |
| Availability: |
https://doi.org/10.1161/circ.152.suppl_3.4369126 |
| Accession Number: |
edsbas.861DFB4E |
| Database: |
BASE |