Blood pressure control by home monitoring: meta-analysis of randomised trials

摘要: Abstract Objective To determine the effect of home blood pressure monitoring on levels and proportion people with essential hypertension achieving targets. Design Meta-analysis 18 randomised controlled trials. Participants 1359 allocated to 1355 “control” group seen in healthcare system for 2-36 months. Main outcome measures Differences systolic (13 studies), diastolic (16 or mean (3 studies) pressures, patients targets (6 between intervention control groups. Results Systolic was lower who had than those standard (standardised difference 4.2 (95% confidence interval 1.5 6.9) mm Hg), by 2.4 (1.2 3.5) Hg, 4.4 (2.0 6.8) Hg. The relative risk above predetermined (risk ratio 0.90, 0.80 1.00). When publication bias allowed for, differences were attenuated: 2.2 (−0.9 5.3) Hg 1.9 (0.6 3.2) pressure. Conclusions Blood (assessed clinic) are increased when is used rather system. reasons this not clear. two methods small but likely contribute an important reduction vascular complications hypertensive population.