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Impact of Clinic-Based Blood Pressure Approaches on Blood Pressure Measurement.


ABSTRACT:

Background

Clinic-based blood pressure (BP) is a closely-tracked metric of health care quality, but is prone to inaccuracy and measurement imprecision. Recent guidelines have advocated for automated office blood pressure (AOBP) devices to improve clinic-based BP assessments.

Methods

Patients from a single hypertension clinic underwent a 3-day evaluation that included a 24-hour ambulatory blood pressure monitoring (ABPM), 2 manual clinic-based BP measurements (over 2 visits), and an unattended AOBP measurement (single visit). All measurements were compared to the average wake-time systolic BP (SBP) and diastolic BP (DBP) from ABPM.

Results

Among 103 patients (mean age 57.3 ± 14.8 years, 51% women, 29% black) the average wake-time SBP was 131.3 ± 12.3 mm Hg and DBP was

SUBMITTER: Juraschek SP 

PROVIDER: S-EPMC6931893 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature