ArticleAmerican journal of hypertension2018
A Comparison of the Diagnostic Accuracy of Common Office Blood Pressure Measurement Protocols.
Article in American journal of hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Effectiveness and Cost-Effectiveness of Team-Based Care for Hypertension: A Meta-Analysis and Simulation Study.Hypertension (Dallas, Tex. : 1979) · 2023Pooled it
- Evidence-Based, Streamlined Approach to Measure Blood Pressure in Primary Care Settings.Hypertension (Dallas, Tex. : 1979) · 2026Review
- Effectiveness of Hypertension Management Strategies in SPRINT-Eligible US Adults: A Simulation Study.Journal of the American Heart Association · 2024Article
- Cost-Effectiveness of Masked Hypertension Screening and Treatment in US Adults With Suspected Masked Hypertension: A Simulation Study.American journal of hypertension · 2022Article
- Article
- Comparison of multiple blood pressure frequency methods with optimum blood pressure measurement among Iranian individuals.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2020Article
- Clinic-Based Strategies to Reach United States Million Hearts 2022 Blood Pressure Control Goals.Circulation. Cardiovascular quality and outcomes · 2019Article
- Automated Office-Based Blood Pressure Measurement: an Overview and Guidance for Implementation in Primary Care.Current hypertension reports · 2019Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe optimal approach to measuring office blood pressure (BP) is uncertain. We aimed to compare BP measurement protocols that differed based on numbers of readings within and between visits and by assessment method.
methodsWe enrolled a sample of 707 employees without known hypertension or cardiovascular disease, and obtained 6 standardized BP readings during each of 3 office visits at least 1 week apart, using mercury sphygmomanometer and BpTRU oscillometric devices (18 readings per participant) for a total of 12,645 readings. We used confirmatory factor analysis to develop a model estimating "true" office BP that could be used to compare the probability of correctly classifying participants' office BP status using differing numbers and types of office BP readings.
resultsAveraging 2 systolic BP readings across 2 visits correctly classified participants as having BP below or above the 140 mm Hg threshold at least 95% of the time if the averaged reading was <134 or >149 mm Hg, respectively. Our model demonstrated that more confidence was gained by increasing the number of visits with readings than by increasing the number of readings within a visit. No clinically significant confidence was gained by dropping the first reading vs. averaging all readings, nor by measuring with a manual mercury device vs. with an automated oscillometric device.
conclusionsAveraging 2 BP readings across 2 office visits appeared to best balance increased confidence in office BP status with efficiency of BP measurement, though the preferred measurement strategy may vary with the clinical context.
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