To assess the feasibility and adoptability of DailyDoctor's remote monitoring clinical decision support software tool in helping physicians virtually manage systolic blood pressures among patients with history of stroke or TIA to a target systolic blood pressure (\<140 mmHg or a lower target range specified by referring physicians) using remote monitoring and independent clinical judgement.
To assess the feasibility and adoptability of DailyDoctor's remote monitoring clinical decision support software tool in helping physicians virtually manage systolic blood pressures among patients with history of stroke or TIA to a target systolic blood pressure (\<140 mmHg or a lower target range specified by referring physicians) using remote monitoring and independent clinical judgement. To assess the feasibility and adoptability of DailyDoctor's digital platform in helping Stanford Stroke Center lower and maintain systolic blood pressures among patients with history of stroke or TIA to a target systolic blood pressure (\<140 mmHg or a lower target range specified by referring physicians) using remote monitoring and a virtual medical team focused on BP management.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
50
Patients are provided standard off-the-shelf blood pressure monitors and take their BP vitals daily. Patients report their daily BP through phone or online. BP data is viewed online by physicians who use their independent medical judgement for any changes in medical management.
Stanford Stroke Center
Stanford, California, United States
Percent patients within target BP
The change in the percentage of patients who are within their target blood pressure range between baseline (based on the average of the first 5 BP readings recorded by the patient using the DailyDoctor platform) and at the completion of the 24 week interv
Time frame: 24 Weeks
Change in average systolic blood pressure
The average systolic blood pressure of the first 5 BP readings recorded by a patient using the DailyDoctor platform will be compared to the average of the last 5 readings of systolic blood pressure reported by the patient using the DailyDoctor platform.
Time frame: 24 Weeks
Proportion of patients within target BP range
Proportions of patients who are within their target blood pressure range during every 4-week period over 24 weeks.
Time frame: Every 4-week period over 24 weeks.
Time taken to achieve a clinically significant reduction in blood pressure
Time taken to achieve a clinically significant reduction in blood pressure (5mmHg for systolic blood pressure or 2.5 mmHg in diastolic blood pressure)
Time frame: Varies, recorded over 24 weeks
Participant compliance
Participant compliance, defined as the percentage of days that a patient transmits a vital sign reading on a monthly or weekly basis.
Time frame: Recorded over 24 weeks
Rate of blood pressure decline
Rate of blood pressure decline
Time frame: Recorded over 24 weeks
Change in number of antihypertensive drugs
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Change in number of antihypertensive drugs prescribed between baseline and the final assessment
Time frame: 24 Weeks
Change in number of classes of antihypertensive drugs
Change in number of classes of antihypertensive drugs prescribed between baseline and the final assessment with 5 predefined classes: diuretics, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers, calcium channel blockers, β-blockers, and others (α-blockers, hydralazine, minoxidil, clonidine, reserpine, guanethidine, and methyldopa).
Time frame: 24 Weeks
Number and types of AEs & SAEs
Number and types of AEs \& SAEs
Time frame: Recorded over 24 weeks
Proportions of patients of various BP categories
Based on weekly and 4-weekly blood pressure averages, the proportions of patients who are classified as: Normal (\<120 mmHg systolic/ \<80 mmHg diastolic) Elevated (120-129 mmHg systolic/ \<80 mmHg diastolic). Stage 1 hypertensive: systolic pressure ranging from 130 to 139 mm Hg or a diastolic pressure ranging from 80 to 89 mm Hg. Stage 2 hypertensive: systolic pressure ≥140 mm Hg or a diastolic pressure ≥90 mm Hg.
Time frame: Recorded over 24 weeks