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.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Padwal R,Campbell NRC,Schutte AE,Olsen MH,Delles C,Etyang A,Cruickshank JK,Stergiou G,Rakotz MK,Wozniak G,Jaffe MG,Benjamin I,Parati G,Sharman JE

doi

10.1097/HJH.0000000000002112

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1737-1745

issue

9

eissn

0263-6352

issn

1473-5598

journal_volume

37

pub_type

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