Evidence map›Paper›PMID 41321436›Full record

ReviewSAGE open nursing

Factors Associated with Variations in Home Blood Pressure Monitoring among Adults with Hypertension: Systematic Review.

Tecleab Okubai, Desale Tewelde Kahsay, Tesfit Brhane Netsereab, Melat Adugna Asnake

Abstract readReview
In one paragraph

Review in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Tecleab OkubaiDepartment of Nursing, Orotta College of Medicine and Health Sciences, Asmara, Eritrea.ORCID https://orcid.org/0000-0001-5773-3561
Desale Tewelde KahsayDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0001-5536-6948
Tesfit Brhane NetsereabDepartment of Community Medicine, Orotta College of Medicine and Health Sciences, Asmara, Eritrea.ORCID https://orcid.org/0000-0002-0664-6078
Melat Adugna AsnakeDepartment of Gastroenterology, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0009-0009-6125-7778

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Home blood pressure monitoring is often considered less reliable than conventional blood pressure monitoring due to different factors. Aim: To investigate variations in home blood pressure monitoring and associated factors, differences in measured blood pressure under varying conditions such as postural changes from sitting to standing, among adults with hypertension. Methods: A systematic review of studies was conducted on adults (≥18 years) with hypertension. Peer-reviewed studies published between 1992 and 2025 were searched in the Web of Science, PubMed, MEDLINE, and CINAHL databases in August 2023 and September 2025. The review included studies on home blood pressure monitoring, the associated factors, and reported in systolic and/or diastolic values. The main outcome was variations in home blood pressure monitoring categorized as small (<5 mmHg), moderate (5-15 mmHg), or large (>15 mmHg). Associated factors were also identified and the findings were analyzed using narrative synthesis. Results: A total of 2,843 peer-reviewed articles were identified across four databases, of which 33 met the inclusion criteria. Generally, variations in home blood pressure monitoring ranged from -21.8 to +9.5 mmHg for systolic blood pressure and from -5.0 to +5.5 mmHg for diastolic blood pressure, where the + and - signs indicate the direction of changes. Fifteen factors associated with variations in home blood pressure monitoring were identified and broadly categorized into patient, device, procedural, protocol, and observer factors with related subcategories. Conclusions: There were variations in home blood pressure monitoring and were associated with the factors, ranging from large decreases to large increases in both systolic and diastolic blood pressures, among adults with hypertension. Therefore, when measuring and interpreting blood pressure at home, it is essential to consider the factors associated with the variations. Furthermore, this study serves as a baseline for future research. This review is registered in PROSPERO.

Indexed as

adultshome blood pressure monitoringhypertensionvariations

Identifiers

PMID41321436
PMCPMC12660654

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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.