Vascular Health and Risk Management (Apr 2022)
Home Blood Pressure Measurement and Self-Interpretation of Blood Pressure Readings During Pregnancy: Hy-Result e-Health Prospective Study
Abstract
Nicolas Postel-Vinay,1,2 Jiali-Delphine Shao,3 Anne Pinton,4 Aude Servais,5 Nicole Gebara,1 Laurence Amar1 1Hypertension Unit, ESH Excellence Center, Hôpital Européen Georges Pompidou, APHP, Paris, France; 2Hospital at Home, Fondation Santé Service, Levallois, France; 3Faculté de médecine de l’Université Paris Saclay, Le Kremlin Bicêtre, France; 4Department of Obstetrics and Gynecology, Trousseau Hospital, APHP, Sorbonne University, Paris, France; 5Nephrology and Transplantation Department, Necker Hospital, APHP, Paris, FranceCorrespondence: Nicolas Postel-Vinay, Email [email protected]: Hy-Result is a rule management system designed to help patients to be compliant with the home blood pressure measurement (HBPM) monitoring schedule and to understand their BP readings. The aim of the Hy-Result e-Health prospective study is to evaluate the practice and experience of women using the Hy-Result coaching app for self-interpretation of BP readings during and after pregnancy.Methods: Participants were asked to: i) measure their BP at home; ii) use the Hy-Result app and send their PDF report to the researcher; iii) answer anonymously to 3 online independent questionnaires (Q).Results: A total of 107 women accepted to measure their BP and use the app. Among them 82 (77%) performed HBPM and used successfully the system and 72 (88%) shared to the investigator their PDF report by email. Of these, 95% declared the software was “easy” or “very easy” to use; 93% believe the software helps them to monitor their BP more effectively (74% agree, 18% somewhat agree); 94% that the color code classification was “clear”; 76 (93%) affirmed that the app helped them when consulting their physician for their BP evaluation. Majority (87%) perceived the software to be reliable. Furthermore, 71 (87%) said they trust the system and 51 (62%) declared that performing HBPM and self-interpret their readings was “reassuring” whereas 6 (7%) felt that it was “a concern”.Conclusion: This study shows that the majority (88%) of pregnant women performed HBPM and successfully used the Hy-Result software for self-interpretation of the BP readings. The use of the validated Hy-Result system by pregnant women may thus be recommended in common practice by healthcare professionals and patient associations.Keywords: hypertension, home blood pressure monitoring, health informatics, pregnancy, e-health, telemedicine, self-monitoring
