Key result
Structured automated blood pressure measurement using the SPRINT protocol yielded significantly lower mean systolic readings compared to routine manual office measurement, with an average difference of 4.96 mmHg (p<0.001).
Why the study?
Does structured automatic blood pressure measurement differ from routine manual measurement in clinic participants?
Cross-Sectional (n=52)
No
Does structured automatic blood pressure measurement differ from routine manual measurement in clinic participants?
Mean Difference: 4.96
Absolute Event Rate: 126.38% vs 129.38%
p-value: p=<0.001
Routine manual office blood pressure measurements differ significantly from the structured automated measurements used in the SPRINT trial, highlighting the importance of measurement methodology when applying trial targets to clinical practice.
Office BP may not equate to SPRINT values; leaves open whether aggressive targets apply in routine practice.
The SPRINT trial was a landmark study and appeared to set new aggressive goals for the treatment of hypertension. It relied upon an average of multiple blood pressure measurements taken with an automated blood pressure cuff with a noted cool-down period beforehand. Our study was designed to see if the values obtained in common office practice differed from the so called “research grade” numbers achieved in the SPRINT trial. To accomplish this, we had participants screened with a manual cuff pressure per normal clinic protocols. Their blood pressure was then assessed in a more structured method incorporating rest periods between successive measurements with an automatic cuff. The results showed that for mean-automatic--to-manual BP, a statistically significant difference was found for systolic differences (t = 3.992, df 51, p < 0.001).
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Adeel et al. (2018) conducted a cross-sectional in Hypertension (n=52). Automated blood pressure measurement (SPRINT protocol) vs. Manual blood pressure measurement was evaluated on Difference between manual and mean automatic systolic blood pressure (MD 4.96, p=<0.001). Structured automated blood pressure measurement using the SPRINT protocol yielded significantly lower mean systolic readings compared to routine manual office measurement, with an average difference of 4.96 mmHg (p<0.001).
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