Research Article

Home Blood Pressure Control and Drug Prescription Patterns among Thai Hypertensives: A 1-Year Analysis of Telehealth Assisted Instrument in Home Blood Pressure Monitoring Nationwide Pilot Project

Table 1

Demographics and patient characteristics.

Clinical characteristicAll n = 1,177Controlled γ home BP group at one year n = 671 (57.0)Uncontrolled home BP group at one year n = 506 (43.0) value

Age (year)58.9 ± 12.359.3 ± 12.158.4 ± 12.60.236
Female699 (59.4)395 (58.9)304 (60.1)0.675
Diabetes154 (13.1)82 (12.2)72 (14.2)0.092
Dyslipidemia$602 (51.1)326 (48.6)276 (54.5)0.038
Follow-up at primary care hospital959 (81.5)544 (81.1)415 (82.0)0.680
Body mass index (kg/m2)26.5 ± 4.926.3 ± 4.926.8 ± 4.90.102
Waist circumference (cm)89.0 ± 10.388.4 ± 10.089.7 ± 10.60.030
Chronic kidney disease with eGFR < 60 mL/min/1.73 m2†265 (22.5)144 (21.4)121 (23.9)0.374

Hypertension status at baseline
(i) Clinic BP
   Systolic BP (mmHg)143.9 ± 18.1139.0 ± 16.8150.5 ± 17.6<0.001
   Diastolic BP (mmHg)84.3 ± 11.981.8 ± 11.087.6 ± 12.3<0.001
  <140/90 mmHg503 (42.7)377 (56.1)126 (24.9)<0.001
(ii) Home BP
    Systolic BP (mmHg)134.4 ± 15.3126.7 ± 11.1144.5 ± 14.1<0.001
    Diastolic BP (mmHg)80.1 ± 9.476.2 ± 7.385.2 ± 9.3<0.001
   <135/85 mmHg609 (51.8)547 (81.5)62 (12.3)<0.001
(iii) Number of antihypertensive medications1.9 ± 1.01.9 ± 0.92.0 ± 1.00.004

Hypertension status at one year of follow-up
(i) Clinic BP
    Systolic BP (mmHg)141.1 ± 16.2132.8 ± 14.6150.3 ± 15.4<0.001
    Diastolic BP (mmHg)83.1 ± 10.879.1 ± 9.987.0 ± 11.3<0.001
    <140/90 mmHg624 (53.0)524 (78.1100 (19.8)<0.001
(ii) Home BP
    Systolic BP (mmHg)132.6 ± 15.0122.6 ± 7.6144.8 ± 12.1<0.001
    Diastolic BP (mmHg)79.1 ± 9.574.0 ± 6.184.9 ± 8.7<0.001
(iii) Number of antihypertensive medications1.9 ± 1.21.9 ± 1.52.1 ± 1.1< 0.001

Values are presented as means ± SD, number (%). BP = blood pressure. γControlled home BP group: participants who had home BP data at one year of <135/85 mmHg. Uncontrolled home BP group: participants who had home BP data at one year of ≥135/85 mmHg. $Dyslipidemia was defined as the total blood cholesterol level greater than 200 mg/dL, or low-density lipoprotein cholesterol level greater than 130 mg/dL, or fasting triglycerides level greater than 150 mg/dL; or using lipid-lowering drugs. Estimated glomerular filtration rate (eGFR) calculated by the Modification of Diet in Renal Disease (MDRD) study equation.