Blood pressure determination by traditionally trained personnel is less reliable and tends to underestimate the severity of moderate to severe hypertension

Roubsanthisuk, Weranuj; Wongsurin, Unticha; Saravich, Surachai; Buranakitjaroen, Peera

doi:10.1097/mbp.0b013e3280b08317

Cited by 22 publications

(30 citation statements)

References 20 publications

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“…Roubsanthisuk et al demonstrated a higher terminal digit preference of zero among untrained health care providers (8). Our data on EMS personnel are consistent with the observation that health care providers tend to measure blood pressures in deciles despite the fact that this introduces error into the measurement.…”

Section: Discussionsupporting

confidence: 91%

Agreement between Emergency Medical Services and Expert Blood Pressure Measurements

Cienki

DeLuca

2012

The Journal of Emergency Medicine

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Section: Discussionsupporting

confidence: 91%

Agreement between Emergency Medical Services and Expert Blood Pressure Measurements

Cienki

DeLuca

2012

The Journal of Emergency Medicine

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“…A possible limitation of our study is that we relied on lay trained non-clinician interviewers for the measurement of blood pressure. Data suggest that trained personnel actually underestimate the prevalence of hypertension as compared with clinicians 40 . Our classification of hypertension was based on an average of two measurements and not on more regular monitoring.…”

Section: Discussionmentioning

confidence: 96%

“…Studies show that similar automated wrist devices to measure blood pressure compare well with gold-standard measurements using sphygmomanometers and trained health personnel 13 , 40 . A possible limitation of our study is that we relied on lay trained non-clinician interviewers for the measurement of blood pressure.…”

Section: Discussionmentioning

confidence: 99%

Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control

Lloyd‐Sherlock

Beard

Minicuci

et al. 2014

International Journal of Epidemiology

413

367

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Background This study uses data from the World Health Organization’s Study on Global Ageing and Adult Health (SAGE) to examine patterns of hypertension prevalence, awareness, treatment and control for people aged 50 years and over in China, Ghana, India, Mexico, the Russian Federation and South Africa.Methods The SAGE sample comprises of 35 125 people aged 50 years and older, selected randomly. Hypertension was defined as ≥140 mmHg (systolic blood pressure) or ≥90 mmHg (diastolic blood pressure) or by currently taking antihypertensives. Control of hypertension was defined as blood pressure below 140/90 mmHg on treatment. A person was defined as aware if he/she was hypertensive and self-reported the condition.Results Prevalence rates in all countries are broadly comparable to those of developed countries (52.9%; range 32.3% in India to 77.9% in South Africa). Hypertension was associated with overweight/obesity and was more common in women, those in the lowest wealth quintile and in heavy alcohol consumers. Awareness was found to be low for all countries, albeit with substantial national variations (48.3%; range 23.3% in Ghana to 72.1% in the Russian Federation). This was also the case for control (10.2%; range 4.1% in Ghana to 14.1% India) and treatment efficacy (26.3%; range 17.4% in the Russian Federation to 55.2% in India). Awareness was associated with increasing age, being female and being overweight or obese. Effective control of hypertension was more likely in older people, women and in the richest quintile. Obesity was associated with poorer control.Conclusions The high rates of hypertension in low- and middle-income countries are striking. Levels of treatment and control are inadequate despite half those sampled being aware of their condition. Since cardiovascular disease is by far the largest cause of years of life lost in these settings, these findings emphasize the need for new approaches towards control of this major risk factor.

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“…Variability inherent in the subject and/or construct being assessed may have contributed to inconsistent measurement. One of the greatest challenges in assessing reliability occurs when measuring a response that is inherently unstable (Roubsanthisuk, Wongsurin, Saravich, and Buranakitjaroen, 2007). Reliability examinations for the current study were performed within 24-48 h after the initial examination and prior to beginning treatment.…”

Section: Discussionmentioning

confidence: 99%

Inter-rater reliability of select physical examination procedures in patients with neck pain

Hanney

George

Kolber

et al. 2013

Physiotherapy Theory and Practice

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This study evaluated the inter-rater reliability of select examination procedures in patients with neck pain (NP) conducted over a 24- to 48-h period. Twenty-two patients with mechanical NP participated in a standardized examination. One examiner performed standardized examination procedures and a second blinded examiner repeated the procedures 24-48 h later with no treatment administered between examinations. Inter-rater reliability was calculated with the Cohen Kappa and weighted Kappa for ordinal data while continuous level data were calculated using an intraclass correlation coefficient model 2,1 (ICC2,1). Coefficients for categorical variables ranged from poor to moderate agreement (-0.22 to 0.70 Kappa) and coefficients for continuous data ranged from slight to moderate (ICC2,1 0.28-0.74). The standard error of measurement for cervical range of motion ranged from 5.3° to 9.9° while the minimal detectable change ranged from 12.5° to 23.1°. This study is the first to report inter-rater reliability values for select components of the cervical examination in those patients with NP performed 24-48 h after the initial examination. There was considerably less reliability when compared to previous studies, thus clinicians should consider how the passage of time may influence variability in examination findings over a 24- to 48-h period.

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Blood pressure determination by traditionally trained personnel is less reliable and tends to underestimate the severity of moderate to severe hypertension

Cited by 22 publications

References 20 publications

Agreement between Emergency Medical Services and Expert Blood Pressure Measurements

Agreement between Emergency Medical Services and Expert Blood Pressure Measurements

Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control

Inter-rater reliability of select physical examination procedures in patients with neck pain

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