The reliability of patient blood pressure self-assessments - a cross-sectional study.
Hypertension
Self measurement of blood pressure
Journal
BMC primary care
ISSN: 2731-4553
Titre abrégé: BMC Prim Care
Pays: England
ID NLM: 9918300889006676
Informations de publication
Date de publication:
03 01 2023
03 01 2023
Historique:
received:
17
08
2022
accepted:
29
12
2022
entrez:
3
1
2023
pubmed:
4
1
2023
medline:
6
1
2023
Statut:
epublish
Résumé
Home blood pressure monitoring (HBPM) is an increasingly important tool in managing hypertension (HTN); however, its efficacy depends on its accuracy. This study aimed to explore the differences between blood pressure (BP) measurements conducted by patients and medical professionals and the patient demographic factors correlating with inaccurate self-measured BP levels. One hundred hypertensive patients completed a questionnaire inquiring about their health status and HBPM procedures and were filmed while measuring their BP using their own devices. A researcher then measured the patients' BP using a calibrated sphygmomanometer to assess the accuracy of patient-performed readings. This cross-sectional study was conducted in five primary healthcare centers in Kraków, Poland. The mean differences in systolic and diastolic BP readings by patients and researchers were 8.36 mmHg (SD = 10.90 mmHg) and 2.16 mmHg (SD = 9.12 mmHg), respectively. Inaccuracies in patient BP measurements were associated with a less than high school education level, patients' age, and a family history of HTN. Patient self-measured BP levels were higher than researcher values, likely due to a higher patient error rate. Healthcare providers must increase training regarding correct HBPM techniques offered to patients; such efforts should be directed at all hypertensive patients, emphasizing the most error-prone demographics.
Identifiants
pubmed: 36597022
doi: 10.1186/s12875-022-01962-x
pii: 10.1186/s12875-022-01962-x
pmc: PMC9811785
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2Informations de copyright
© 2022. The Author(s).
Références
J Hypertens. 2022 Jul 1;40(7):1380-1387
pubmed: 35762478
J Hypertens. 2021 Sep 1;39(9):1742-1767
pubmed: 34269334
Hypertension. 2018 May;71(5):848-857
pubmed: 29531173
J Hum Hypertens. 2010 Dec;24(12):779-85
pubmed: 20520631
J Am Coll Cardiol. 2019 Jan 29;73(3):317-335
pubmed: 30678763
J Hypertens. 2016 Oct;34(10):1887-920
pubmed: 27467768
Hypertension. 2019 May;73(5):e35-e66
pubmed: 30827125
J Hypertens. 2021 Jul 1;39(7):1293-1302
pubmed: 33710173
J Clin Hypertens (Greenwich). 2012 Mar;14(3):139-43
pubmed: 22372772
Hypertension. 2007 Dec;50(6):1019-25
pubmed: 17938383
J Hypertens. 1988 May;6(5):375-80
pubmed: 3385202
Am J Hypertens. 2011 Feb;24(2):123-34
pubmed: 20940712
J Am Coll Cardiol. 2005 Sep 6;46(5):743-51
pubmed: 16139119
Blood Press Monit. 2004 Jun;9(3):143-7
pubmed: 15199308
Am J Hypertens. 2008 Sep;21(9):969-75
pubmed: 18583985
Ann Intern Med. 2013 Aug 6;159(3):185-94
pubmed: 23922064
Aust Fam Physician. 2013 Apr;42(4):233-7
pubmed: 23550251
Arq Bras Cardiol. 2012 Feb;98(2):167-74
pubmed: 22249412
J Hypertens. 2008 Mar;26(3):446-52
pubmed: 18300854
Am J Hypertens. 2015 Oct;28(10):1209-21
pubmed: 25725092
Am J Kidney Dis. 2020 Mar;75(3):426-434
pubmed: 31864820
Hypertension. 2020 Feb;75(2):331-338
pubmed: 31865790
Eur Cardiol. 2015 Dec;10(2):95-101
pubmed: 30310433
J Am Coll Cardiol. 2018 May 15;71(19):e127-e248
pubmed: 29146535
Clin Med Res. 2005 Feb;3(1):19-26
pubmed: 15962017
Can Fam Physician. 2010 Jul;56(7):649-53
pubmed: 20631271
Hypertens Res. 2000 Jan;23(1):21-4
pubmed: 10737131
Can J Cardiol. 2010 May;26(5):e152-7
pubmed: 20485694
J R Soc Med. 2005 Mar;98(3):111-3
pubmed: 15738553
Am J Hypertens. 1998 Dec;11(12):1413-7
pubmed: 9880121
BMC Cardiovasc Disord. 2021 Nov 12;21(1):539
pubmed: 34772348
Ann Med. 2010 Jul;42(5):371-86
pubmed: 20504241