Optimizing observer performance of clinic blood pressure measurement: a position statement from the Lancet Commission on Hypertension Group

Raj Padwal, Norm R C Campbell, Aletta E Schutte, Michael Hecht Olsen, Christian Delles, Anthony Etyang, J Kennedy Cruickshank, George Stergiou, Michael K Rakotz, Gregory Wozniak, Marc G Jaffe, Ivor Benjamin, Gianfranco Parati, James E Sharman

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstrakt

: 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.

OriginalsprogEngelsk
Sider (fra-til)1737-1745
Antal sider9
TidsskriftJournal of Hypertension
Vol/bind37
Udgave nummer9
DOI
StatusUdgivet - sep. 2019

Fingeraftryk Udforsk hvilke forskningsemner 'Optimizing observer performance of clinic blood pressure measurement: a position statement from the Lancet Commission on Hypertension Group' indeholder.

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