9.1 Education for Self-Measurement of Blood Pressure as an Instrument for the Management of Hypertensive Patients and Pr
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High Blood Press Cardiovasc Prev 2007; 14 (3): 145-196 1120-9879/07/0003-0145/$44.95/0 © 2007 Adis Data Information BV. All rights reserved.
Therapy, Pharmacoeconomics and Pharmacovigilance 9.1 Education for Self-Measurement of Blood Pressure as an Instrument for the Management of Hypertensive Patients and Promoter of Appropriate Medication. S. Lenti,1 G. Peruzzi,2 P. Corradini,3 C. Frigerio,1 L. Ralli1 ` di Siena, Si Siena; (3) USL 9, Casteldelpiano, (1) USL 8, Ar Arezzo; (2) Universita It Italy The Working Group on BP monitoring of ESH has recognised the importance of long term self measurement management of the hypertensive patients. The aim of our study has been to oversee a year long follow up of 100 participating patients of our previous project ED.A.P.A. (Education of self measurement of blood pressure) held in Arezzo in the year 2005. These hypertensive patients have continued to carry out the home BP self measurement and to register the values in a journal and with special questionnaires and we have registered possible changes in medication (SHIFT), emergency room admissions, the number of medical visits for hypertension reasons and the therapeutic compliances: comparing all to the previous year when self measurement was not practiced. After a year we have gotten a reduction of almost 25% of medication shift with relative expense savings always around the same percentage, a 20% reduction of emergency room admissions and doctor’s office visits, with a 7% improvement regarding the correct use of medication, the compliance and the consequent improvement of therapeutic coverage. Ultimately among all the registered values at the first measurement and those at the third measurement, always on the same sitting, we have noticed that there is an important statistic with p < 0.005 and therefore there is a decrease in the values. Further savings in the cost of the illness can be expected in the reduction of the cardio and vascular brain illnesses, linked to the strongest identification of high risk patients (SCORE Project) or nonresponders to their actual therapy, thus to be able to concentrate on them the highest amount of the resources. If our data are to be confirmed in a larger survey we could reasonably think that with self measurement the modifications of pressure values can be managed in time and control the therapeutic efficiency, identifying the self measurement as an instrument of management in the hypertense patient and a promoter of the appropriate medication.
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