Evidence map›Paper›PMID 27249056›Full record

ArticlePloS one2016

How Accurate Are Home Blood Pressure Devices in Use? A Cross-Sectional Study.

Marcel Ruzicka, Ayub Akbari, Eva Bruketa, Jeanne Françoise Kayibanda, Claude Baril, Swapnil Hiremath

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  8. Article
  9. Article
  10. Review
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  12. Article
  13. Accuracy of blood-pressure monitors owned by patients with hypertension (ACCU-RATE study): a cross-sectional, observational study in central England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Observational
  14. Article
  15. KDOQI US Commentary on the 2017 ACC/AHA Hypertension Guideline.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    Review
  16. Article
  17. Patient use of blood pressure self-screening facilities in general practice waiting rooms: a qualitative study in the UK.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  18. Experts Provide a Glimpse of the New Post-SPRINT Era of Hypertension.P & T : a peer-reviewed journal for formulary management · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marcel RuzickaDivision of Nephrology, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Ayub AkbariDivision of Nephrology, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Eva BruketaKidney Research Centre, Ottawa Health Research Institute, Ottawa, Canada.
Jeanne Françoise KayibandaKidney Research Centre, Ottawa Health Research Institute, Ottawa, Canada.
Claude BarilDivision of Nephrology, The Ottawa Hospital, Ottawa, Canada.
Swapnil HiremathDivision of Nephrology, Faculty of Medicine, University of Ottawa, Ottawa, Canada.ORCID http://orcid.org/0000-0003-0010-3416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOut of office blood pressure measurements, using either home monitors or 24 hour ambulatory monitoring, is widely recommended for management of hypertension. Though validation protocols, meant to be used by manufacturers, exist for blood pressure monitors, there is scant data in the literature about the accuracy of home blood pressure monitors in actual clinical practice. We performed a chart review in the blood pressure assessment clinic at a tertiary care centre.

methodsWe assessed the accuracy of home blood pressure monitors used by patients seen in the nephrology clinic in Ottawa between the years 2011 to 2014. We recorded patient demographics and clinical data, including the blood pressure measurements, arm circumference and the manufacturer of the home blood pressure monitor. The average of BP measurements performed with the home blood pressure monitor, were compared to those with the mercury sphygmomanometer. We defined accuracy based on a difference of 5 mm Hg in the blood pressure values between the home monitor and mercury sphygmomanometer readings. The two methods were compared using a Bland-Altman plot and a student's t-test.

resultsThe study included 210 patients. The mean age of the study population was 67 years and 61% was men. The average mid-arm circumference was 32.2 cms. 30% and 32% of the home BP monitors reported a mean systolic and diastolic BP values, respectively, different from the mercury measurements by 5 mm Hg or more. There was no significant difference between the monitors that were accurate versus those that were not when grouped according to the patient characteristics, cuff size or the brand of the home monitor.

conclusionsAn important proportion of home blood pressure monitors used by patients seen in our nephrology clinic were inaccurate. A re-validation of the accuracy and safety of the devices already in use is prudent before relying on these measurements for clinical decisions.

Indexed as

AgedBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesFemaleHumansMaleMiddle Aged

Identifiers

PMID27249056
PMCPMC4889144

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.