Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients

Seidlerová, Jitka; Ceral, Jiří; Mateřánková, Markéta; König, P; Řiháček, Ivan; Vysočanová, Petra; Souček, Miroslav; Filipovský, Jan

doi:10.1080/08037051.2018.1540260

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Nevertheless, several authors [16,27,31,32] have reported findings that differ from ours. Seidlerova et al .…”

Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

“…Nevertheless, several authors [16,27,31,32] have reported findings that differ from ours. Seidlerova et al [31] reported a lower SBP and DBP with AOBP of 10.1/3.7 mmHg compared with that obtained by a physician, although the variability intraindividual differences in this study was high. Hiremath et al [32] found discrepancies with two different validated devices used especially for AOBP, 7 mmHg with the Omron 907XL and 8.3 mmHg with the BpTru, compared to the measurement obtained by a nurse with the same device used for AOBP.…”

Section: Discussioncontrasting

confidence: 99%

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Conventional office blood pressure measurements and unattended automated office blood pressure compared with home self-measurement and 24-h ambulatory blood pressure monitoring

Fonseca‐Reyes

Fonseca-Cortés

Coca

et al. 2022

Blood Pressure Monitoring

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Objective To assess whether automated office blood pressure (BP) (AOBP) measurement is a better method for measuring BP in the office than conventional techniques and an alternative to out-of-office BP measurements: home-self BP (HSBP) or ambulatory BP monitoring (ABPM). Methods We conducted a cross-sectional study of 74 patients and compared AOBP with the conventional technique using a mercury sphygmomanometer and with both out-to-office BP measurements: HSBP of 7 days (three measurements in the morning, afternoon, and night) and daytime ABPM. In addition, we compared BP values obtained using HSBP and ABPM to determine their level of agreement. We used ANOVA to compare means, Bland–Altman, and intraclass correlation coefficients (ICC) for concordance. Results BP values obtained by the two office methods were similar: conventional 147.2/85.0 mmHg and AOBP 146.0/85.5 mmHg (P > 0.05) with good agreement (ICC 0.85). The mean SBP differences between AOBP and HSBP (P < 0.001) and between AOBP and ABPM (P < 0.001) were 8.6/13.0 mmHg with limits of agreement of −21.2 to 38.5 and −18.4 to 44.3 mmHg, respectively. The average SBP values obtained by HSBP were 4.3 mmHg higher than those obtained by ABPM (P < 0.01). Conclusion Our study showed good agreement and concordance between the two office methods as well between the two out-to-office methods, although there was a significant difference in the mean SBP between the HSBP and ABPM. Moreover, AOBP was not comparable to either HSBP or ABPM; therefore, the estimation of out-to-office BP using AOBP is not supported.

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“…Nevertheless, several authors [16,27,31,32] have reported findings that differ from ours. Seidlerova et al .…”

Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

See 1 more Smart Citation

Conventional office blood pressure measurements and unattended automated office blood pressure compared with home self-measurement and 24-h ambulatory blood pressure monitoring

Fonseca‐Reyes

Fonseca-Cortés

Coca

et al. 2022

Blood Pressure Monitoring

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show abstract

“…Complementary techniques for BP monitoring, such as ambulatory BP monitoring (ABPM) and automated measurement in designated BP kiosks or at home, have gradually been introduced [11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Care of hypertensive patients in accordance with current guidelines [4] imposes challenges in treatment, monitoring, and comorbidity-management strategies [5][6][7][8][9][10]. Complementary techniques for BP monitoring, such as ambulatory BP monitoring (ABPM) and automated measurement in designated BP kiosks or at home, have gradually been introduced [11][12][13][14][15][16][17]. The rationale has been to increase patient engagement and reduce a potential white-coat effect on BP monitoring.…”

Section: Introductionmentioning

confidence: 99%

A comparative trial of blood pressure monitoring in a self- care kiosk, in office, and with ambulatory blood pressure monitoring

Nilsson,

Lindam

2023

Preprint

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Background: If kiosk blood pressure (BP) monitoring provides results equivalent to daytime ambulatory BP monitoring (ABPM), follow-up of patients could be managed primarily by self-checks. We therefore designed a trial of automated BP monitoring in three settings: a designated BP kiosk, by nurses and physicians in clinic, and by ABPM. We also evaluated the diagnostic performance of kiosk- and office-based BP (nurse- versus physician-measured) compared with ABPM. Methods: In-office and in-kiosk BP measurements were taken with Omron meters and ABPM with a Meditech device. The primary outcome was systolic and diastolic BP, with respective diagnostic thresholds of ≥135 mmHg and/or ≥85 mmHg for daytime ABPM and kiosk BP and ≥140 mmHg and/or ≥90 mmHg for office BP (nurse- and physician-measured). Results: Compared with daytime ABPM, mean systolic kiosk BP was higher by 6.2 mmHg (95% confidence interval [CI] 3.8–8.6) and diastolic by 7.9 mmHg (95% CI 6.2–9.6; p < 0.001). Mean systolic BP taken by nurses was similar to daytime ABPM values (+2.0 mmHg; 95% CI -0.2–4.2; p = 0.071), but nurse-measured diastolic values were higher, by 7.2 mmHg (95% CI 5.9–9.6; p < 0.001). Mean systolic and diastolic physician-measured BPs were higher compared with daytime ABPM (systolic, by 7.6 mmHg [95% CI 4.5–10.2] and diastolic by 5.8 mmHg [95% CI 4.1–7.6]; p < 0.001). Receiver operating characteristic curves of BP monitoring across pairs of systolic/diastolic cut-off levels among the three settings, with daytime ABPM as reference, demonstrated overall similar diagnostic performance between kiosk and nurse-measured values and over the curve performance for physician-measured BP. Accuracy with nurse-measured BP was 69.2% (95% CI 60.0%–77.4%), compared with 65.8% (95% CI 56.5%–74.3%) for kiosk BP. Conclusions: Kiosk BP monitoring is not comparable to daytime ABPM but can be an alternative to in-office BP monitoring by trained nurses. The diagnostic performance of kiosk and nurse-measured BP monitoring was similar and better than that of physician-measured BP. Trial registration: The study was registered at ClinicalTrials.gov (NCT04488289) 27/07/2020.

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Comparative accuracies of automated and manual office blood pressure measurements in a Chinese population

et al. 2021

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Background: Lack of decrease (≤ 10%) in systolic blood pressure during sleep, referred to as non-dipping, independently predicts cardiovascular events and mortality. There has been no prospective and adequately powered randomizedcontrolled trial to determine whether exercise, when compared to standard treatment, can normalize non-dipping (ND) in patients with hypertension. Further, most patients do not sustain an exercise program by 12 months.Method: A two-arm, assessor-blinded randomized controlled trial, involving 198 hypertensive Chinese patients who have non-dipping will be conducted to evaluate the effectiveness of a combined exercise (aerobic exercise and resistance training) program to normalize non-dipping (ND). The combined exercise program, "exercise is medicine" (EIM), was developed to maintain exercise habit using a variety of techniques (e.g. 12-week exercise classes, mobile application, wrist trackers, selfscheduling, monitoring, regular feedback and motivational interviewing). Eligible patients will be randomized to EIM plus usual care or to usual care in 1:1 ratio by stratified randomization according to age and sex. The randomization sequence is blinded to the investigators and allocation is disclosed only after valid consent.

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Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients

Cited by 4 publications

References 10 publications

Conventional office blood pressure measurements and unattended automated office blood pressure compared with home self-measurement and 24-h ambulatory blood pressure monitoring

Conventional office blood pressure measurements and unattended automated office blood pressure compared with home self-measurement and 24-h ambulatory blood pressure monitoring

A comparative trial of blood pressure monitoring in a self- care kiosk, in office, and with ambulatory blood pressure monitoring

Comparative accuracies of automated and manual office blood pressure measurements in a Chinese population

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