Key result
Physician-measured systolic blood pressure was approximately 10 mmHg higher than nurse measurements, which were approximately 7 mmHg higher than automated device measurements.
Why the study?
Does automated blood pressure measurement without a clinician present reduce recorded blood pressure compared to physician or nurse measurement in hypertensive individuals?
Population
27 individuals (17 essential hypertensive and 10 white-coat hypertensive)
Comparison
Blood pressure measurement using an automated… vs Blood pressure measurement by the attending…
Design
Cross-sectional
Authors
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Automated BP readings may be 7-10 mmHg lower than clinician measurements; leaves open impact on hypertension diagnosis and management.
Observational (n=27)
Does automated blood pressure measurement without a clinician present reduce recorded blood pressure compared to physician or nurse measurement in hypertensive individuals?
Effect estimate: MD ~10 mmHg (physician vs nurse) and ~7 mmHg (nurse vs automated)
Automated blood pressure measurement without a clinician present yields significantly lower readings than physician or nurse measurements, potentially reducing white-coat effects.
Gerin et al. (2001) conducted an observational in Essential and white-coat hypertension (n=27). Blood pressure measurement by physician or nurse vs. Automated device (Arteriosonde 1216) was evaluated on Systolic and diastolic blood pressure (MD ~10 mmHg (physician vs nurse) and ~7 mmHg (nurse vs automated)). Physician-measured systolic blood pressure was approximately 10 mmHg higher than nurse measurements, which were approximately 7 mmHg higher than automated device measurements.
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