Comparison Between Automated Office Blood Pressure Measurements and Manual Office Blood Pressure Measurements—Implications in Individual Patients: a Systematic Review and Meta-analysis
العنوان: | Comparison Between Automated Office Blood Pressure Measurements and Manual Office Blood Pressure Measurements—Implications in Individual Patients: a Systematic Review and Meta-analysis |
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المؤلفون: | Kareen Ka-Yin Chu, Samuel Y. S. Wong, Chun Pong Yu, Kin-On Kwok, Eppie Yu-Han Leung, Yacong Bo, Eric K P Lee |
المصدر: | Current Hypertension Reports |
بيانات النشر: | Springer Science and Business Media LLC, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | China, medicine.medical_specialty, Guidelines / Clinical Trials/Meta-Analysis (WJ Kostis, Section Editor), Elevated bp, Population, White-coat hypertension, Blood Pressure, White coat hypertension, 030204 cardiovascular system & hematology, Masked hypertension, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Ambulatory blood pressure measurement, Internal Medicine, Humans, Medicine, 030212 general & internal medicine, education, education.field_of_study, business.industry, Limits of agreement, Blood Pressure Determination, Automated office blood pressure, Blood Pressure Monitoring, Ambulatory, medicine.disease, Manual office blood pressure, Meta-analysis, Masked Hypertension, Blood pressure, Hypertension, Cardiology, business, White Coat Hypertension |
الوصف: | Purpose of Review Automated office blood pressure (AOBP) measurements may provide more accurate estimation of blood pressure (BP) than manual office blood pressure (MOBP) measurements. This systematic review investigated the diagnostic performance of AOBP and MOBP using ambulatory blood pressure measurement (ABPM) as reference. Several databases including MEDLINE, Embase, Scopus, and China Academic Journals were searched. Data were extracted, double-checked by two investigators, and were analysed using a random effects model. Recent Findings A total of 26 observational studies were included. The mean systolic/diastolic BP obtained by AOBP was not significantly different from that obtained by ABPM. The sensitivity and specificity of AOBP to detect elevated BP were approximately 70%. Fewer participants had white-coat hypertension on AOBP measurement than on MOBP measurement (7% versus 14%); however, about 13% had masked hypertension on AOBP measurement. The width of the limit of agreement comparing (i) AOBP and ABPM and (ii) MOBP and ABPM was comparable. Summary AOBP may reduce the rate of the observed white-coat effect but undermine masked hypertension. The current recommendation, however, is limited by the absence of high-quality studies and the high heterogeneity of our results. More high-quality studies using different AOBP machines and in different population are therefore needed. |
تدمد: | 1534-3111 1522-6417 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::421fd803a2e2423404795a0078e5253b https://doi.org/10.1007/s11906-020-01118-1 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....421fd803a2e2423404795a0078e5253b |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15343111 15226417 |
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