Dynamic triage in hypertension: a quantitative framework for follow-up scheduling based on clinician heuristics and home blood pressure data - Scorecard - MDSpire
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Adaptive Triage in Hypertension Management: A Quantitative Approach for Follow-Up Scheduling Utilizing Clinician Insights and Home Blood Pressure Measurements
Clinical Scorecard: Adaptive Triage in Hypertension Management: A Quantitative Approach for Follow-Up Scheduling Utilizing Clinician Insights and Home Blood Pressure Measurements
At a Glance
Category
Detail
Condition
Hypertension
Key Mechanisms
Clinical inertia and home blood pressure monitoring influence follow-up scheduling.
Target Population
Newly diagnosed hypertensive patients.
Care Setting
Outpatient care with mobile health tools.
Key Highlights
Hypertension affects about a third of the global population.
Clinical inertia contributes to poor hypertension control despite available treatments.
Home BP monitoring can inform follow-up scheduling decisions.
Physicians' follow-up preferences vary based on recent BP readings.
The study provides a foundation for developing mHealth scheduling tools.
Guideline-Based Recommendations
Diagnosis
Systolic BP greater than 135 mmHg indicates hypertension.
Management
Intensified pharmacotherapy is supported for BP control.
Monitoring & Follow-up
Maximum follow-up window of two months for newly diagnosed patients.
Risks
Clinical inertia and organizational failures can hinder effective treatment.
An ancillary analysis found less than 2-percentage-point differences in 10-year recurrence across margin thresholds, with no statistically significant adjusted association.