Abstract

Background: Less than 50% of patients with hypertensive disease manage to maintain their blood pressure (BP) within normal levels. Objective: The aim of this study is to evaluate whether cloud BP system integrated with computerized physician order entry (CPOE) can improve BP management as compared with traditional care. Methods: A randomized controlled trial done on a random sample of 382 adults recruited from 786 patients who had been diagnosed with hypertension and receiving treatment for hypertension in two district hospitals in the north of Taiwan. Physicians had access to cloud BP data from CPOE. Neither patients nor physicians were blinded to group assignment. The study was conducted over a period of seven months. Results: At baseline, the enrollees were 50% male with a mean (SD) age of 58.18 (10.83) years. The mean sitting BP of both arms was no different. The proportion of patients with BP control at two, four and six months was significantly greater in the intervention group than in the control group. The average capture rates of blood pressure in the intervention group were also significantly higher than the control group in all three check-points. Conclusions: Cloud-based BP system integrated with CPOE at the point of care achieved better BP control compared to traditional care. This system does not require any technical skills and is therefore suitable for every age group. The praise and assurance to the patients from the physicians after reviewing the Cloud BP records positively reinforced both BP measuring and medication adherence behaviors.

Original languageEnglish
Pages (from-to)105-113
Number of pages9
JournalComputer Methods and Programs in Biomedicine
Volume132
DOIs
Publication statusPublished - Aug 1 2016

Fingerprint

Medical Order Entry Systems
Blood pressure
Self Care
Randomized Controlled Trials
Blood Pressure
Pressure control
Physicians
Point-of-Care Systems
Hypertension
Control Groups
Medication Adherence
District Hospitals
Taiwan

Keywords

  • Cloud-based BP system
  • CPOE
  • Hypertension
  • Randomized controlled trial
  • Self-management

ASJC Scopus subject areas

  • Computer Science Applications
  • Software
  • Health Informatics

Cite this

@article{33dac888a9964b869a9ae234179693f3,
title = "Cloud-based BP system integrated with CPOE improves self-management of the hypertensive patients: A randomized controlled trial",
abstract = "Background: Less than 50{\%} of patients with hypertensive disease manage to maintain their blood pressure (BP) within normal levels. Objective: The aim of this study is to evaluate whether cloud BP system integrated with computerized physician order entry (CPOE) can improve BP management as compared with traditional care. Methods: A randomized controlled trial done on a random sample of 382 adults recruited from 786 patients who had been diagnosed with hypertension and receiving treatment for hypertension in two district hospitals in the north of Taiwan. Physicians had access to cloud BP data from CPOE. Neither patients nor physicians were blinded to group assignment. The study was conducted over a period of seven months. Results: At baseline, the enrollees were 50{\%} male with a mean (SD) age of 58.18 (10.83) years. The mean sitting BP of both arms was no different. The proportion of patients with BP control at two, four and six months was significantly greater in the intervention group than in the control group. The average capture rates of blood pressure in the intervention group were also significantly higher than the control group in all three check-points. Conclusions: Cloud-based BP system integrated with CPOE at the point of care achieved better BP control compared to traditional care. This system does not require any technical skills and is therefore suitable for every age group. The praise and assurance to the patients from the physicians after reviewing the Cloud BP records positively reinforced both BP measuring and medication adherence behaviors.",
keywords = "Cloud-based BP system, CPOE, Hypertension, Randomized controlled trial, Self-management",
author = "Peisan Lee and Liu, {Ju Chi} and Hsieh, {Ming Hsiung} and Hao, {Wen Rui} and Tseng, {Yuan Teng} and Liu, {Shuen Hsin} and Lin, {Yung Kuo} and Li-Chin Sung and Huang, {Jen Hung} and Yang, {Hung Yu} and Ye, {Jong Shiuan} and Zheng, {He Shun} and Min-Huei Hsu and Shabbir Syed-Abdul and Richard Lu and Nguyen, {Phung Anh} and Iqbal Usman and Huang, {Chih Wei} and Jian, {Wen Shan} and Li, {Yu Chuan}",
year = "2016",
month = "8",
day = "1",
doi = "10.1016/j.cmpb.2016.04.003",
language = "English",
volume = "132",
pages = "105--113",
journal = "Computer Methods and Programs in Biomedicine",
issn = "0169-2607",
publisher = "Elsevier Ireland Ltd",

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TY - JOUR

T1 - Cloud-based BP system integrated with CPOE improves self-management of the hypertensive patients

T2 - A randomized controlled trial

AU - Lee, Peisan

AU - Liu, Ju Chi

AU - Hsieh, Ming Hsiung

AU - Hao, Wen Rui

AU - Tseng, Yuan Teng

AU - Liu, Shuen Hsin

AU - Lin, Yung Kuo

AU - Sung, Li-Chin

AU - Huang, Jen Hung

AU - Yang, Hung Yu

AU - Ye, Jong Shiuan

AU - Zheng, He Shun

AU - Hsu, Min-Huei

AU - Syed-Abdul, Shabbir

AU - Lu, Richard

AU - Nguyen, Phung Anh

AU - Usman, Iqbal

AU - Huang, Chih Wei

AU - Jian, Wen Shan

AU - Li, Yu Chuan

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Background: Less than 50% of patients with hypertensive disease manage to maintain their blood pressure (BP) within normal levels. Objective: The aim of this study is to evaluate whether cloud BP system integrated with computerized physician order entry (CPOE) can improve BP management as compared with traditional care. Methods: A randomized controlled trial done on a random sample of 382 adults recruited from 786 patients who had been diagnosed with hypertension and receiving treatment for hypertension in two district hospitals in the north of Taiwan. Physicians had access to cloud BP data from CPOE. Neither patients nor physicians were blinded to group assignment. The study was conducted over a period of seven months. Results: At baseline, the enrollees were 50% male with a mean (SD) age of 58.18 (10.83) years. The mean sitting BP of both arms was no different. The proportion of patients with BP control at two, four and six months was significantly greater in the intervention group than in the control group. The average capture rates of blood pressure in the intervention group were also significantly higher than the control group in all three check-points. Conclusions: Cloud-based BP system integrated with CPOE at the point of care achieved better BP control compared to traditional care. This system does not require any technical skills and is therefore suitable for every age group. The praise and assurance to the patients from the physicians after reviewing the Cloud BP records positively reinforced both BP measuring and medication adherence behaviors.

AB - Background: Less than 50% of patients with hypertensive disease manage to maintain their blood pressure (BP) within normal levels. Objective: The aim of this study is to evaluate whether cloud BP system integrated with computerized physician order entry (CPOE) can improve BP management as compared with traditional care. Methods: A randomized controlled trial done on a random sample of 382 adults recruited from 786 patients who had been diagnosed with hypertension and receiving treatment for hypertension in two district hospitals in the north of Taiwan. Physicians had access to cloud BP data from CPOE. Neither patients nor physicians were blinded to group assignment. The study was conducted over a period of seven months. Results: At baseline, the enrollees were 50% male with a mean (SD) age of 58.18 (10.83) years. The mean sitting BP of both arms was no different. The proportion of patients with BP control at two, four and six months was significantly greater in the intervention group than in the control group. The average capture rates of blood pressure in the intervention group were also significantly higher than the control group in all three check-points. Conclusions: Cloud-based BP system integrated with CPOE at the point of care achieved better BP control compared to traditional care. This system does not require any technical skills and is therefore suitable for every age group. The praise and assurance to the patients from the physicians after reviewing the Cloud BP records positively reinforced both BP measuring and medication adherence behaviors.

KW - Cloud-based BP system

KW - CPOE

KW - Hypertension

KW - Randomized controlled trial

KW - Self-management

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U2 - 10.1016/j.cmpb.2016.04.003

DO - 10.1016/j.cmpb.2016.04.003

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JO - Computer Methods and Programs in Biomedicine

JF - Computer Methods and Programs in Biomedicine

SN - 0169-2607

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