What question did this study set out to answer?

The aim is to systematically review and analyze the accuracy of automated office blood pressure (AOBP) compared to traditional measurement methods.

February 4, 2019JAMA Internal MedicineOpen Access

Comparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension

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Why the study?

Although studies showed automated office blood pressure (AOBP) measurement to be more accurate than routine office BP and without a white coat effect, cumulative evidence had not been systematically reviewed.

Does automated office blood pressure (AOBP) measurement provide readings similar to awake ambulatory BP and different from routine office BP in patients with possible hypertension?

Population

9279 participants across 31 articles

Comparison

AOBP vs routine office BP, research BP, and awake ambulatory BP

Design

Systematic review and random-effects meta-analysis

Authors

MRMichael RoereckePreventive Cardiology JKJanusz KaczorowskiPreventive Cardiology MMMartin G. MyersGeneral Cardiology

Discussion

Member takes

Implication

Supports routine AOBP adoption to minimize white coat effect; confirms accuracy over manual office BP in pooled data.

Key Points

The aim is to systematically review and analyze the accuracy of automated office blood pressure (AOBP) compared to traditional measurement methods.
Conducted a systematic review and meta-analysis of studies from MEDLINE, Embase, and Cochrane Library.
Included studies with 30 or more patients comparing AOBP to ambulatory and office blood pressure measurements.
Performed random effects meta-analyses and meta-regressions on pooled blood pressure data.
Routine office systolic BP readings were 14.5 mm Hg higher than AOBP (95% CI, 11.8-17.2 mm Hg; P < .001).
Research systolic BP readings showed a difference of 7.0 mm Hg compared to AOBP (95% CI, 4.9-9.1 mm Hg; P < .001).
Systolic awake ambulatory BP and AOBP readings were similar, with a mean difference of only 0.3 mm Hg (95% CI, -1.1 to 1.7 mm Hg; P < .001).

Structured PICO

Does automated office blood pressure (AOBP) measurement provide readings similar to awake ambulatory BP and different from routine office BP in patients with possible hypertension?

Population

9279 participants (4736 men and 4543 women) from 31 articles evaluating blood pressure measurement methods.

Intervention

Automated office blood pressure (AOBP) measurement (recorded with the patient resting alone in a quiet place)

Comparator

Routine office BP, research BP measurements, and awake ambulatory BP

Outcome

Pooled mean differences of systolic and diastolic BP between types of BP measurementsurrogate

Automated office blood pressure readings are similar to awake ambulatory BP and devoid of the white coat effect, supporting their use as the preferred method for routine clinical practice.

Cite This Study

Roerecke et al. (2019) studied this question.

synapsesocial.com/papers/6a7100a935aa2c282ce252cd https://doi.org/10.1001/jamainternmed.2018.6551

Topics

Hypertension management

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Comparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Comparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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