scholarly journals The Impact of Observer and Patient Factors on the Occurrence of Digit Preference for Zero in Blood Pressure Measurement in a Hypertension Specialty Clinic: Evidence for the Need of Continued Observation

2006 ◽  
Vol 19 (6) ◽  
pp. 567-572 ◽  
Author(s):  
J GRAVES ◽  
K BAILEY ◽  
B GROSSARDT ◽  
R GULLERUD ◽  
R MEVERDEN ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Patient Factors ◽  
Digit Preference ◽  
Specialty Clinic ◽  
The Impact

Abstract P333: National Trends in the Quality of Office Blood Pressure Measurements, 2014-2019

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Kathryn Foti ◽  
Lawrence J Appel ◽  
Kunihiro Matsushita ◽  
Josef Coresh ◽  
G Caleb Alexander ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Practice ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Pressure Measurements ◽  
Hypertension Treatment ◽  
Digit Preference ◽  
Provider Characteristics ◽  
Over Time

Introduction: Clinical practice guidelines emphasize the importance of accurate blood pressure measurement and recording to diagnose and treat hypertension. Trends in terminal digit preference (typically manifest by a terminal digit of ‘0’) have not been examined nationally. The growing use of automated blood pressure devices may have reduced terminal digit preference and improved accuracy over time. Objective: To evaluate trends in terminal digit preference in office blood pressure measurements among adults with hypertension by patient and provider characteristics. Methods: We used IQVIA National Disease and Therapeutic Index (NDTI) data from January 2014 through June 2019. The NDTI is designed to be nationally-representative of all patient visits to office-based physicians and uses a two-stage stratified sampling design to sample ~4,000 physicians per quarter who report information on all patient visits on 2 random workdays. We included all hypertension treatment visits (~60M/year) among adults aged ≥18. We examined trends in the proportion of hypertension treatment visits with recorded systolic (SBP) and diastolic (DBP) blood pressure measurements with a terminal digit ‘0’. The expected percent of blood pressures with ‘0’ is 10% for automated and 20% for manual readings. Results: There was a decrease in the percent of visits with SBP (43.0% to 37.4%) or DBP (44.3% to 38.1%) recordings ending in zero ( Table ). The decrease in percent of SBPs with a terminal zero was similar by patient and provider characteristics, though the percentage of SBPs with a terminal ‘0’ was consistently higher among patients aged ≥60, when SBP ≥140 mmHg, and among cardiologists. Conclusions: Terminal digit preference is common indicating systematic error in blood pressure measurement and recording, despite some improvement over time. This may lead to under- and overtreatment of patients with hypertension. Improving the quality of blood pressure measurement is central to improving hypertension diagnosis and control in clinical practice.

The impact of calibration approaches on the accuracy of oscillometric central aortic blood pressure measurement

2020 ◽  
Vol 38 (11) ◽  
pp. 2154-2160 ◽  
Author(s):  
Michael Gotzmann ◽  
Maximilian Hogeweg ◽  
Frederic Bauer ◽  
Felix S. Seibert ◽  
Benjamin J. Rohn ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Aortic Blood ◽  
Aortic Blood Pressure ◽  
The Impact ◽  
Central Aortic Blood Pressure

scholarly journals The impact of pulse pressure on the accuracy of wrist blood pressure measurement

2008 ◽  
Vol 23 (6) ◽  
pp. 391-395 ◽  
Author(s):  
T H Westhoff ◽  
S Schmidt ◽  
R Meissner ◽  
W Zidek ◽  
M van der Giet
Keyword(s):  
Blood Pressure ◽  
Pulse Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
The Impact

scholarly journals Validity of self blood pressure measurement in the control of the hypertensive patient: factors involved

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Arleen De León-Robert ◽  
Juan José Gascón-Cánovas ◽  
José Joaquín Antón-Botella ◽  
Isabel María Hidalgo-García ◽  
Carmen López-Alegría ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Hypertensive Patient ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Patient Factors
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