Use of home sphygmomanometers in Turkey: a nation-wide survey

Tekin, Mustafa; Erdem, Yunus; Derici, Ülver; Ertürk, Şehsuvar; Çağlar, Şali; Hasanoğlu, Enver; Karatan, Oktay; Sindel, Şükrü; Turgan, Çetin

doi:10.1038/hr.2011.193

Cited by 17 publications

(12 citation statements)

References 24 publications

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“…The basic demographic information of the participants was published previously [23]. A total of 1650 participants (30.3%) of the PatenT2 study were hypertensive, and 54.7% of the hypertensive patients (n = 902) were aware of their diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…Treatment of HT was defined as the use of antihypertensive medication at the time of the interview. Control of HT was defined as an SBP < 140 mmHg and a DBP < 90 mmHg [23]. The control rates among patients receiving antihypertensive medication were also recorded.…”

Section: Measurements and Definitionsmentioning

confidence: 99%

“…However, the prevalence of home sphygmomanometer ownership and patient awareness and compliance with the HBPM guidelines are not well known, especially in developing and underdeveloped countries. In Turkey, a developing country with a high prevalence of HT (30.3%), we conducted a survey (published in this journal) using computer-assisted telephone interviewing among 2747 hypertensive patients in 2011; of the respondents, 1281 (46.6%) had a home sphygmomanometer [23][24][25][26]. Computer-assisted telephone interviewing has some limitations; therefore, we were unable to investigate the validation of the sphygmomanometers, the consistency of the arm circumference of the user and the cuff size of the upper-arm device owned and the possible beneficial effects of having a sphygmomanometer.…”

Section: Introductionmentioning

confidence: 99%

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Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

et al. 2018

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Home blood pressure monitoring (HBPM), which integrates patients into their treatment program, is a self-management tool. The prevalence of home sphygmomanometer ownership and patient compliance with HBPM guidelines are not well known, especially in developing and underdeveloped countries. The aims of this study were to measure the prevalence of home sphygmomanometer ownership among hypertensive subjects through a nationwide field survey (PatenT2), to investigate the validation of sphygmomanometers and consistency of the user arm circumference and cuff size of the upper-arm device owned, as well as to compare blood pressure (BP) readings between hypertensive subjects who have or do not have a sphygmomanometer. Sample selection was based on a multistratified proportional sampling procedure to select a nationally representative sample of the adult population (n = 5437). Of 1650 hypertensive subjects, 332 (20.1%) owned a device, but the percentage of patients who owned a sphygmomanometer was 28.8% among patients who were aware of their hypertension (260/902). The usage of wrist devices and nonvalidated devices is common, and selection of an appropriate cuff size is ignored. Linear-regression analysis showed that owning a BP monitor is associated with decreases of 3.7 mmHg and 2.8 mmHg for systolic and diastolic BPs, respectively. Many patients do not own a sphygmomanometer. The decrease of systolic and diastolic BPs among BP monitor owners is a striking finding. The implementation of a hypertension care program consisting of sphygmomanometer reimbursement and training of patients in its use for HBPM might be cost-effective.

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Section: Resultsmentioning

confidence: 99%

Section: Measurements and Definitionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

et al. 2018

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“…In contrast, the well-educated participants were seen to be active in the prevention of hypertension or self-assessment of it by HBPM. Also, people with less education often face greater socioeconomic stresses including occupations offering lower salaries, where the cost of a sphygmomanometer could have been a discouraging factor as stated by Akpolat, et al [21]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of Use of Home Sphygmomanometers Among Hypertensive Patients

Zahid¹,

Amin²,

Amin³

et al. 2017

Cureus

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ObjectiveFew studies have looked at the predictors of use of home sphygmomanometers among hypertensive patients in low-income countries such as Pakistan. Considering the importance of home blood pressure monitoring (HBPM), cross-sectional study was conducted to evaluate the prevalence and predictors of the usage of all kinds of HBPM devices.MethodThis study was conducted in Karachi during the time period of January-February 2017. Adult patients previously diagnosed with hypertension visiting tertiary care hospitals were selected for the study. Interviews from the individuals were conducted after verbal consent using a pre-coded questionnaire. The data was analyzed using Statistical Package for the Social Sciences v. 23.0 (SPSS, IBM Corporation, NY, USA). Chi-squared test was applied as the primary statistical test.ResultsMore than half of the participants used a home sphygmomanometer (n=250, 61.7%). The age, level of education, family history of hypertension, compliance to drugs and blood pressure (BP) monitoring, few times a month at clinics were significant determinants of HBPM (P values < 0.001). It was found that more individuals owned a digital sphygmomanometer (n=128, 51.3%) as compared to a manual type (n=122, 48.8%). Moreover, avoiding BP measurement in a noisy environment was the most common precaution taken (n=117, 46.8%).ConclusionThe study showed that around 40% of the hypertensive individuals did not own a sphygmomanometer and less than 25% performed HBPM regularly. General awareness by healthcare professionals can be a possible factor which can increase HBPM.

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“…However, the prevalence of ownership of a home sphygmomanometer and the awareness and compliance of the patients with HBPM guidelines are less known, especially in developing and underdeveloped countries. Therefore, we conducted a telephone survey 16 to estimate the prevalence of ownership of a home sphygmomanometer among hypertensive subjects, to investigate factors affecting ownership of a sphygmomanometer, and to compare how HBPM was used in daily practice with respect to the current guidelines. 17, 18 Among 2747 hypertensive patients enrolled in the study, 1281 (46.6%) had a home sphygmomanometer and 60% of the patients were using wrist devices.…”

Section: Awareness Treatment and Control Of Hypertensionmentioning

confidence: 99%

Controlling hypertension in Turkey: not a hopeless dream

Şengül

Erdem

Tekin

et al. 2013

Kidney International Supplements

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Despite major progress in prevention, diagnosis, and treatment during the recent decades, hypertension remains the leading risk factor for cardiovascular disease and mortality throughout the world. The prevalence of hypertension in developing countries continues to rise reaching alarming rates. Several risk factors of hypertension appear to be more common in developing countries than in developed countries. In Turkey, hypertension is a prevalent condition affecting approximately 22.5 million individuals. Hypertension control (defined as blood pressure <140/90 mm Hg) rate increased from 8.1% in 2003 (first Prevalence, awareness, treatment, and control of hypertension in Turkey (PatenT) study) to 28.7% in 2012 (PatenT 2 study). Meanwhile, rates of cardiovascular morbidity and mortality remained high in Turkey. Controlling risk factors such as hypertension, tobacco use, unhealthy diet, obesity, diabetes, hyperlipidemia, and physical inactivity can prevent most of the deaths from cardiovascular disease. It is also crucial for the public health system to have a hypertension education program aimed at reducing cardiovascular disease and prevention and control of hypertension promoting a healthy lifestyle in Turkey. Such a program could positively affect other lifestyle-related diseases as well. Importantly, cooperation among the components of the health system could contribute to improved outcomes in hypertensive populations.

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Use of home sphygmomanometers in Turkey: a nation-wide survey

Cited by 17 publications

References 24 publications

Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

Prevalence and Predictors of Use of Home Sphygmomanometers Among Hypertensive Patients

Controlling hypertension in Turkey: not a hopeless dream

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