Variation in Blood Pressure Classification Using 7 Blood Pressure Estimation Protocols Among Adults in Taiwan
| العنوان: | Variation in Blood Pressure Classification Using 7 Blood Pressure Estimation Protocols Among Adults in Taiwan |
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| المؤلفون: | Heng-Yu Pan, Hung-Ju Lin, Wen-Jone Chen, Tzung-Dau Wang |
| المصدر: | JAMA Network Open |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Cross-sectional study, Taiwan, Cardiology, Classification scheme, Health Promotion, Interquartile range, Secondary analysis, Medicine, Humans, Hypertension diagnosis, Aged, Original Investigation, Estimation, business.industry, Research, Blood Pressure Determination, General Medicine, Middle Aged, Online Only, Blood pressure, Cross-Sectional Studies, Hypertension, Practice Guidelines as Topic, Female, business, Demography |
| الوصف: | Key Points Question Are different blood pressure (BP) estimation protocols associated with discrepancies in BP estimates and classifications? Findings In this cross-sectional study including 62 647 Taiwanese adults, discrepancies in BP classifications occurred in 31.6% and 26.2% of participants according to ESC and ACC classifications, respectively. The Averaging the Lowest Two protocol estimated the lowest prevalence of hypertension. Meaning These findings suggest that a global consensus on BP estimation should be achieved to avoid incomparable BP assessment. This cross-sectional study examines the intraindividaul discrepancies in blood pressure estimates and classifications based on different BP estimation protocols. Importance Discrepancies in blood pressure (BP) estimates lead to incomparable BP assessment. Objective To determine intraindividual discrepancies in BP estimates and classifications based on different BP estimation protocols. Design, Setting, and Participants This cross-sectional study was a secondary analysis of data from the May Measurement Month Taiwan in 2017 and 2018, which were cross-sectional survey campaigns at pharmacies nationwide to raise awareness of high BP. Participants were volunteers aged 20 years or older. Analysis was conducted from February 2 to August 7, 2020. Exposure Pharmacist-measured sitting BP using oscillometric sphygmomanometers. Main Outcomes and Measures A total of 7 BP estimation protocols were assessed according to the latest American College of Cardiology (ACC), Chinese Hypertension League (CHL), European Society of Cardiology (ESC), International Society of Hypertension, Japanese Society of Hypertension, and National Institute of Health and Care Excellence (NICE) hypertension guidelines, and the proposed Averaging the Lowest Two systolic readings protocol. According to BP classification schemes of ESC and ACC guidelines, intraindividual discrepancies were identified if classification inconsistencies among 7 BP estimates were present. Results Of 81 041 participants, 62 647 adults with 3 BP readings were included. The median (interquartile range) age was 59.0 (46.0-69.0) years, and 31 922 (51.5%) were women. The intraindividual maximum mean (SD) differences in systolic/diastolic BP estimates among the seven protocols were 4.8 (4.3)/3.3 (3.1) mm Hg. The highest prevalence of BP of 140/90 mm Hg or higher was by CHL (16 405 participants [26.2%]) and the lowest was by Averaging the Lowest Two (13 996 participants [22.3%]; P |
| تدمد: | 2574-3805 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::37a4ee7caae5a75788bc9fcb23f75621 https://pubmed.ncbi.nlm.nih.gov/33206190 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....37a4ee7caae5a75788bc9fcb23f75621 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25743805 |
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