The Gap Between Manual and Automated Office Blood Pressure Measurements Results at a Hypertension Clinic
| Autor: | Paul Van Nguyen, Mikhael Laskine, Nathalie Ng Cheong, Lyne Cloutier, Leora Birnbaum, Maxime Lamarre-Cliche, Hélène L'Archevêque, Pierre Larochelle, Ghislaine Roederer, Monica Ilinca, Robert Wistaff, Martine Gauthier, Félix Rinfret, Michel J. Bertrand |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Canada Comparative Effectiveness Research Pediatrics medicine.medical_specialty Comparative effectiveness research Context (language use) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Cohen's kappa Oscillometry Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' Aged Retrospective Studies Hypertension clinic business.industry Blood Pressure Determination Retrospective cohort study Middle Aged Reference Standards Sphygmomanometers Clinical trial Blood pressure Dimensional Measurement Accuracy Health Facility Environment Hypertension Physical therapy Female Cardiology and Cardiovascular Medicine business Research setting |
| Zdroj: | Canadian Journal of Cardiology. 33:653-657 |
| ISSN: | 0828-282X |
| DOI: | 10.1016/j.cjca.2017.01.021 |
| Popis: | Background Blood pressure (BP) readings taken in clinics are often higher than BP readings taken in a research setting. Recent guidelines and clinical trials have highlighted the necessity of using automated office blood pressure (AOBP) devices and standardizing measurement procedures. The goal of the present study was to compare AOBP vs manual BP measurement in both research and clinical environments in which operators and devices were the same and measurement procedures were standardized and optimal. Methods Clinical manual BP and AOBP measurement estimates were gathered from a retrospective cohort of patients followed in a hypertension clinic. Research AOBP and manual BP measurement data were obtained from past research studies. Descriptive statistics and agreement analyses with Cohen kappa coefficients were developed. The AOBP/manual BP measurement gap between clinical and research follow-up was compared using an unpaired t test. Results Two hundred eighty-eight patients were included in the clinical cohort, and 195 patients contributed to research-grade BP data. All patients had hypertension. AOBP averages were lower than manual measurement averages in both clinical (−3.6 ± 14.9 mm Hg / −3.0 ± 8.8 mm Hg) and research (−2.7 ± 10.0 / −2.4 ± 6.3 mm Hg) environments. The gap between measurement methods did not differ between research and clinical data. Cohen kappa coefficient was lower in the clinical context because of greater variability and more time between BP measurements (5.5 ± 2.9 months). Conclusions Manual BP readings were slightly higher than AOBP estimates. The difference was not influenced by the real-world context of clinical practice. Office nonautomated BP measurements may still be valuable if measurement procedures are well standardized and performed by trained nurses. |
| Databáze: | OpenAIRE |
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