Detection and Control of Pregnancy Hypertension Using Self-Monitoring of Blood Pressure With Automated Telemonitoring: Cost Analyses of the BUMP Randomized Trials.

Detection and Control of Pregnancy Hypertension Using Self-Monitoring of Blood Pressure With Automated Telemonitoring: Cost Analyses of the BUMP Randomized Trials.

Publication date: Jan 23, 2024

Pregnancy hypertension continues to cause maternal and perinatal morbidity. Two linked UK randomized trials showed adding self-monitoring of blood pressure (SMBP) with automated telemonitoring to usual antenatal care did not result in earlier detection or better control of pregnancy hypertension. This article reports the trials’ integrated cost analyses. Two cost analyses. SMBP with usual care was compared with usual care alone in pregnant individuals at risk of hypertension (BUMP 1 trial [Blood Pressure Monitoring in High Risk Pregnancy to Improve the Detection and Monitoring of Hypertension], n=2441) and with hypertension (BUMP 2 trial, n=850). Clinical notes review identified participant-level antenatal, intrapartum, and postnatal care and these were costed. Comparisons between trial arms used means and 95% CIs. Within BUMP 2, chronic and gestational hypertension cohorts were analyzed separately. Telemonitoring system costs were reported separately. In BUMP 1, mean (SE) total costs with SMBP and with usual care were lb7200 (lb323) and lb7063 (lb245), respectively, mean difference (95% CI), lb151 (-lb633 to lb936). For the BUMP 2 chronic hypertension cohort, corresponding figures were lb13 384 (lb1230), lb12 614 (lb1081), mean difference lb323 (-lb2904 to lb3549) and for the gestational hypertension cohort were lb11 456 (lb901), lb11 145 (lb959), mean difference lb41 (-lb2486 to lb2567). The per-person cost of telemonitoring was lb6 in BUMP 1 and lb29 in BUMP 2. SMBP was not associated with changes in the cost of health care contacts for individuals at risk of, or with, pregnancy hypertension. This is reassuring as SMBP in pregnancy is widely prevalent, particularly because the COVID-19 pandemic. URL: https://www. clinicaltrials. gov; Unique identifier: NCT03334149.

Concepts Keywords
Clinicaltrials blood pressure
Nct03334149 cost
Pandemic hypertension
Pregnancy pregnancy
systolic blood pressure

Semantics

Type Source Name
disease MESH Hypertension
disease IDO blood
disease MESH morbidity
drug DRUGBANK Tropicamide
disease MESH High Risk Pregnancy
disease MESH gestational hypertension
disease MESH COVID-19 pandemic

Original Article

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