Remote Monitoring of Hypertension Diseases in Pregnancy: A Pilot Study
Autor: | Sharona Vonck, Anneleen Staelens, Valerie Storms, Christophe J.P. Smeets, Lars Grieten, Anne Van Moerbeke, Dorien Lanssens, Wilfried Gyselaers, Anne van den Hoogen, Thijs Vandenberk, Tiziana Robijns, Hélène De Cannière, Geert Molenberghs, Inge M Thijs |
---|---|
Přispěvatelé: | LANSSENS, Dorien, VANDENBERK, Thijs, SMEETS, Christophe, DE CANNIERE, Helene, STORMS, Valerie, MOLENBERGHS, Geert, Van Moerbeke, Anne, van den Hoogen, Anne, Robijns, Tiziana, VONCK, Sharona, STAELENS, Anneleen, THIJS, Inge, GRIETEN, Lars, GYSELAERS, Wilfried |
Rok vydání: | 2017 |
Předmět: |
Gestational hypertension
Pediatrics medicine.medical_specialty Multivariate analysis Health Informatics Information technology Prenatal care 03 medical and health sciences gestational hypertension disorders 0302 clinical medicine Intensive care medicine Outpatient clinic 030212 general & internal medicine pregnancy eHealth remote monitoring Original Paper Pregnancy Univariate analysis 030219 obstetrics & reproductive medicine business.industry Retrospective cohort study T58.5-58.64 medicine.disease Public aspects of medicine RA1-1270 business |
Zdroj: | JMIR mHealth and uHealth JMIR mHealth and uHealth, Vol 5, Iss 3, p e25 (2017) |
ISSN: | 2291-5222 |
DOI: | 10.2196/mhealth.6552 |
Popis: | Background: Although remote monitoring (RM) has proven its added value in various health care domains, little is known about the remote follow-up of pregnant women diagnosed with a gestational hypertensive disorders (GHD). Objective: The aim of this study was to evaluate the added value of a remote follow-up program for pregnant women diagnosed with GHD. Methods: A 1-year retrospective study was performed in the outpatient clinic of a 2nd level prenatal center where pregnant women with GHD received RM or conventional care (CC). Primary study endpoints include number of prenatal visits and admissions to the prenatal observation ward. Secondary outcomes include gestational outcome, mode of delivery, neonatal outcome, and admission to neonatal intensive care (NIC). Differences in continuous and categorical variables in maternal demographics and characteristics were tested using Unpaired Student's two sampled t test or Mann-Whitney U test and the chi-square test. Both a univariate and multivariate analysis were performed for analyzing prenatal follow-up and gestational outcomes. All statistical analyses were done at nominal level, Cronbach alpha=.05. Results: Of the 166 patients diagnosed with GHD, 53 received RM and 113 CC. After excluding 5 patients in the RM group and 15 in the CC group because of the missing data, 48 patients in RM group and 98 in CC group were taken into final analysis. The RM group had more women diagnosed with gestational hypertension, but less with preeclampsia when compared with CC (81.25% vs 42.86% and 14.58% vs 43.87%). Compared with CC, univariate analysis in RM showed less induction, more spontaneous labors, and less maternal and neonatal hospitalizations (48.98% vs 25.00%; 31.63% vs 60.42%; 74.49% vs 56.25%; and 27.55% vs 10.42%). This was also true in multivariate analysis, except for hospitalizations. Conclusions: An RM follow-up of women with GHD is a promising tool in the prenatal care. It opens the perspectives to reverse the current evolution of antenatal interventions leading to more interventions and as such to ever increasing medicalized antenatal care. This study is part of the Limburg Clinical Research Program (LCRP) UHasselt-ZOL-Jessa, supported by the foundation Limburg SterkMerk (LSM), Hasselt University, Ziekenhuis Oost-Limburg, and Jessa Hospital. We like to thank NeleGeusens, Wilco Waaijer, and Thomas Reyskens for their participation in this project. No specific funding was provided for publication of this pilot study. |
Databáze: | OpenAIRE |
Externí odkaz: |