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P-035 “PREVENTION IS LIVING”: A TELEMEDICINE PROGRAM BASED ON SELF-MONITORING OF BLOOD PRESSURE IN WORKERS IN THE OIL INDUSTRY

2024; Oxford University Press; Volume: 74; Issue: Supplement_1 Linguagem: Inglês

10.1093/occmed/kqae023.0482

1471-8405

Florencia Rolandi, Pablo Zarate, Pablo Ruiz-Rudolph, Leila Cura, Elisabeth Serantes, Carolina Milana, Diego Cuellar, Sebastian Namuncura, Cristian Quispe, Javier Saldivia, Luis Manuel Padrón Velázquez, Juan Martin Azcarate,

Quality and Safety in Healthcare

Abstract Introduction 35% of the adult population has hypertension. Half don’t know. Of the 40% of known and medicated hypertensive patients, only 40% have their BP controlled. Self-monitoring of BP is an opportunity for improvement so that hypertensive people have less heart attack, stroke and cardiovascular death. Methods We implemented a telemedicine program in workers in the oil industry with the aim of identifying unknown hypertensive and hypertensive people with inadequate control. Participants received a BP monitor and were trained by nurses in the proper BP measurement. HTN was considered at least two values > 140/90 mmHg. Participants monitored their BP at home and work during 7 days and uploaded their values in a web available on their mobile phones. Results were evaluated by nurses and physicians through a web platform in real time. If the controls were > 140/90 a medical team contacted them by video call to initiate adjustments in the medication or referral to specialist doctors. Results In this initial stage, 125 patients who performed 1671 measurements were included. Among the 102 who were not known to be hypertensive, a diagnosis of hypertension was made in 3.2%. Of the 23 known hypertensive patients, half had their BP controlled and the rest (9.6% of the total population) did not have adequate control. Discussion This telemedicine program allowed training people in the correct BP measurement, diagnosed new HTN people and identified persons with uncontrolled hypertension. Conclusion Based on the findings we implemented the current stage in which only people with other CV risk factors will be included.