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Optimizing observer performance of clinic blood pressure measurement: a position statement from the Lancet Commission on Hypertension Group


Padwal, R and Campbell, NRC and Schutte, AE and Olsen, MH and Delles, C and Etyang, A and Cruickshank, JK and Stergiou, G and Rakotz, MK and Wozniak, G and Jaffe, MG and Benjamin, I and Parati, G and Sharman, JE, Optimizing observer performance of clinic blood pressure measurement: a position statement from the Lancet Commission on Hypertension Group, Journal of Hypertension, 37, (9) pp. 1737-1745. ISSN 0263-6352 (2019) [Refereed Article]


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Copyright 2019 The Authors. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

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DOI: doi:10.1097/HJH.0000000000002112


High blood pressure (BP) is a highly prevalent modifiable cause of cardiovascular disease, stroke, and death. Accurate BP measurement is critical, given that a 5-mmHg measurement error may lead to incorrect hypertension status classification in 84 million individuals worldwide. This position statement summarizes procedures for optimizing observer performance in clinic BP measurement, with special attention given to low-to-middle-income settings, where resource limitations, heavy workloads, time constraints, and lack of electrical power make measurement more challenging. Many measurement errors can be minimized by appropriate patient preparation and standardized techniques. Validated semi-automated/automated upper arm cuff devices should be used instead of auscultation to simplify measurement and prevent observer error. Task sharing, creating a dedicated measurement workstation, and using semi-automated or solar-charged devices may help. Ensuring observer training, and periodic re-training, is critical. Low-cost, easily accessible certification programs should be considered to facilitate best BP measurement practice.

Item Details

Item Type:Refereed Article
Keywords:AOBP, automated office blood pressure, BP, blood pressure, LMIC, low-to-middle-income countries, blood pressure measurement, consensus statement, global health, hypertension, oscillometry
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Sharman, JE (Professor James Sharman)
ID Code:134996
Year Published:2019
Web of Science® Times Cited:50
Deposited By:Menzies Institute for Medical Research
Deposited On:2019-09-18
Last Modified:2022-08-30
Downloads:30 View Download Statistics

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