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Master Thesis

Évaluation des impacts de l’utilisation d’un tensiomètre connecté sur la prise en charge de l’HTA en médecine générale

Abstract : Introduction - Hypertension is a major public health issue, the first chronic disease in the world leading to many deaths and complications. Connected blood pressure monitors (TCs) are presented as a way to improve screening and monitoring of hypertension. The goal of this study is to assess whether the use of a TC improves the management of hypertension. Methods - This is a prospective, randomized, multicentric interventional study. The 70 patients were randomized into two groups: "connected blood pressure monitor" ("C", intervention), or "non-connected blood pressure monitor" ("NC", control). Were compared between the two groups of patients: the rate of proper realizations of AMT, knowledge about hypertension, perception of TCs. Doctors assessed: the number of Ambulatory Self Blood Pressure Monitoring prescribed in "C" or "NC" version for 2 months of open prescription, and the perception of TCs. Results - There is a trend towards poorer Ambulatory Self Blood Pressure Monitoring (AMT) achievement in group "C" ("NC" = 91.4% well performed vs "C" = 75%, with no indication effect, age or gender), but not significant (p=0.09). There is no difference in knowledge of hypertension between the two groups. Patient satisfaction with TC is 64.3% average, higher among men and younger patients. Regarding the 16 doctors, 68.8% say that TC do not lead to any improvement compared to TNC. In open prescription, nearly ¾ of AMTs were prescribed in the “NC” version. Conclusion - Even if patients seem to be satisfied with TCs, there is no such evidence within the doctors, as TCs appear to complicate the management of the disease and do not improve knowledge of hypertension.
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Master Thesis
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Submitted on : Friday, November 26, 2021 - 4:03:49 PM
Last modification on : Friday, August 5, 2022 - 2:43:21 PM
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  • HAL Id : dumas-03451760, version 1


Marine Dessaint. Évaluation des impacts de l’utilisation d’un tensiomètre connecté sur la prise en charge de l’HTA en médecine générale. Médecine humaine et pathologie. 2020. ⟨dumas-03451760⟩



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