A Computer-Based Monitoring System for Follow-Up of Elevated Blood Pressure

Bibliographic Data

ID9098331
AuthorsG Octo Barnett (Massachusetts General Hospital, corresponding author), Richard N Winickoff (Roxbury Community College), Mary Morgan (Harvard University, corresponding author), Mary M Morgan, Rita D Zielstorff (Massachusetts General Hospital, corresponding author)
Year1983
Volume21
Issue4
Pages400-409
Publication date1983-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198304000-00003
PMID6341724
OpenAlexW2022762623
LanguageEN
Citations received9
References cited2

An automated surveillance system utilizing a computer-based medical record system (COSTAR) was designed to improve the follow-up of patients with newly identified elevated diastolic blood pressure. A population of patients was selected where, in the 6-month period following the initial measurement of an elevated diastolic blood pressure, there were fewer than two visits during which blood pressure was recorded. In a randomized controlled clinical trial, this poor follow-up population was divided into two groups, with computer-generated reminders being automatically generated for only patients in the experimental group. Follow-up was significantly improved in the group receiving the reminders, both in terms of rate of follow-up attempted or achieved by the responsible physician and in the repeated recording of blood pressure. We conclude that a computer-based reminder system improves follow-up of newly discovered elevation in diastolic blood pressure

Blood pressure · Cardiology · Clinical trial · Diastole · Medical record · Population · Randomized controlled trial · Blood Pressure and Hypertension Studies · Cardiovascular Syncope and Autonomic Disorders · Emergency Medicine · Hemodynamic Monitoring and Therapy · Internal Medicine · Medicine · Surgery