Τίτλος:
Optimizing observer performance of clinic blood pressuremeasurement: A position statement fromthe Lancet Commission onHypertension Group
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
High blood pressure (BP) is a highly prevalent modifiable cause of cardiovascular disease, stroke, and death. Accurate BP measurement is critical, given that a 5-mmHg measurement error may lead to incorrect hypertension status classification in 84 million individuals worldwide. This position statement summarizes procedures for optimizing observer performance in clinic BP measurement, with special attention given to low-to-middle-income settings, where resource limitations, heavy workloads, time constraints, and lack of electrical power make measurement more challenging. Many measurement errors can be minimized by appropriate patient preparation and standardized techniques. Validated semi-automated/automated upper arm cuff devices should be used instead of auscultation to simplify measurement and prevent observer error. Task sharing, creating a dedicated measurement workstation, and using semi-automated or solar-charged devices may help. Ensuring observer training, and periodic re-training, is critical. Low-cost, easily accessible certification programs should be considered to facilitate best BP measurement practice. © 2019 The Author(s).
Συγγραφείς:
Padwal, R.
Campbell, N.R.C.
Schutte, A.E.
Olsen, M.H.
Delles, C.
Etyang, A.
Cruickshank, J.K.
Stergiou, G.
Rakotz, M.K.
Wozniak, G.
Jaffe, M.G.
Benjamin, I.
Parati, G.
Sharman, J.E.
Περιοδικό:
JOURNAL OF HYPERTENSION
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
Article; automation; blood pressure measurement; certification; clinical practice; human; hypertension; low income country; measurement accuracy; measurement error; middle income country; priority journal; workload; arm; auscultation; blood pressure; hypertension; practice guideline, Arm; Auscultation; Automation; Blood Pressure; Blood Pressure Determination; Humans; Hypertension
DOI:
10.1097/HJH.0000000000002112
