HBPM was associated with improved short-term BP control in older adults following ischemic stroke, and may be a useful addition to post-discharge care, though the single-center design and short follow-up limit generalizability.
Key Findings
Results
Older adults after ischemic stroke who received standard care plus home blood pressure monitoring had markedly higher odds of achieving BP control 1 week after discharge than those who received standard care alone.
After adjustment, the HBPM group had significantly greater odds of BP control (OR = 22.656, 95% CI [9.494-54.066], p < .001).
The primary outcome was BP control 1 week after discharge, defined by national guidelines.
Multiple logistic regression adjusted for demographic and clinical factors.
Results
Smoking, diabetes, and lower discharge systolic BP were also associated with BP control at 1 week after discharge.
These associations were identified in the multiple logistic regression model.
The authors state these findings should be interpreted cautiously.
Methods
The study used a non-equivalent control group quasi-experimental design with sequential allocation at a single hospital in Thailand.
Conducted at Phrachomklao Hospital, Thailand.
130 older adults were assigned to standard care and 130 to standard care plus HBPM.
Allocation was sequential rather than randomized.
Results
Of 260 enrolled participants, 215 completed the study, with slightly different completion across groups.
HBPM group: n = 114 completers (of 130 allocated).
Control group: n = 101 completers (of 130 allocated).
This implies about 45 participants were lost to follow-up overall.
Conclusions
The authors conclude HBPM may be a useful addition to post-discharge care but note limits to generalizability and call for longer-term research.
Limitations cited: single-center design and short follow-up.
Further research should examine long-term effects and stroke recurrence.
Background
Hypertension is described as a major modifiable risk factor for recurrent stroke in Thailand, motivating the study of HBPM.
The study examined whether HBPM improved short-term BP control after ischemic stroke.
What This Means
This study looked at whether older adults in Thailand who had an ischemic stroke (a stroke caused by a blocked blood vessel) would have better blood pressure control if they checked their blood pressure at home after leaving the hospital. Researchers at one hospital compared 130 people given usual care with 130 given usual care plus home blood pressure monitoring. Group assignment was done in sequence rather than randomly. In the end, 215 people completed the study, and blood pressure control was assessed one week after discharge using national guidelines.
The people who monitored their blood pressure at home were far more likely to have their blood pressure under control than those who received only standard care. The odds were about 22 times higher after accounting for other factors such as demographics and clinical characteristics. Smoking, diabetes, and lower blood pressure at discharge were also linked to blood pressure control, but the authors caution that these findings should be interpreted carefully.
This research suggests home blood pressure monitoring could be a helpful addition to care after a stroke. However, the study was done at a single hospital, was not randomized, and followed people for only a short time. It did not look at whether the approach lowers the chance of another stroke. Longer studies are needed to see whether the benefit lasts and affects stroke recurrence.
Jaipong S, Srithumsuk W, Tongma S, Pattayakorn P, Podimuang K, Ortiz T. (2026). Effect of Home Blood Pressure Monitoring on Blood Pressure Control in Post Ischemic Stroke Older Adults.. Home healthcare now. https://doi.org/10.1097/NHH.0000000000001479