Journal article
Optimizing observer performance of clinic blood pressure measurement: A position statement from the Lancet Commission on Hypertension Group
- Abstract:
- 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.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, pdf, 477.9KB, Terms of use)
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- Publisher copy:
- 10.1097/hjh.0000000000002112
Authors
- Publisher:
- Lippincott, Williams and Wilkins
- Journal:
- Journal of Hypertension More from this journal
- Volume:
- 37
- Issue:
- 9
- Pages:
- 1737-1745
- Publication date:
- 2019-09-01
- Acceptance date:
- 2019-03-11
- DOI:
- EISSN:
-
1473-5598
- ISSN:
-
0263-6352
- Pmid:
-
31034450
- Language:
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English
- Keywords:
- Pubs id:
-
995416
- Local pid:
-
pubs:995416
- Deposit date:
-
2021-02-10
- ARK identifier:
Terms of use
- Copyright holder:
- Padwal et al.
- Copyright date:
- 2019
- Rights statement:
- Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBYNC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
- Licence:
- CC Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND)
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