Prevalence of home blood pressure measurement among selected hypertensive patients: Results of a multicenter survey from six hospital outpatient hypertension clinics in Italy

Aim. The purpose of this study was to evaluate the prevalence of home blood pressure (BP) measurement, the type of devices and accuracy in a large sample of hypertensive patients referred to hospital outpatient hypertension clinics. Methods. Eight hundred and fifty-five consecutive treated hypertens...

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Published in:Blood pressure 2005, Vol.14 (4), p.251-256
Main Authors: Cuspidi, Cesare, Meani, Stefano, Lonati, Laura, Fusi, Veronica, Magnaghi, Gaia, Garavelli, Guido, Palumbo, Gaetana, Pini, Claudio, Vaccarella, Alvaro, Parati, Gianfranco, Leonetti, Gastone, Zanchetti, Alberto
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Language:English
Subjects:
Aged
Blood Pressure Determination - instrumentation
Blood Pressure Monitoring, Ambulatory - statistics & numerical data
Electrocardiography
electronic arm and wrist devices
Female
Home BP measurement
Humans
hypertension
Hypertension - diagnosis
Italy - epidemiology
Male
Middle Aged
Multicenter Studies as Topic
Outpatient Clinics, Hospital - statistics & numerical data
Physical Examination
Prevalence
Surveys and Questionnaires
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creator Cuspidi, Cesare
Meani, Stefano
Lonati, Laura
Fusi, Veronica
Magnaghi, Gaia
Garavelli, Guido
Palumbo, Gaetana
Pini, Claudio
Vaccarella, Alvaro
Parati, Gianfranco
Leonetti, Gastone
Zanchetti, Alberto
description Aim. The purpose of this study was to evaluate the prevalence of home blood pressure (BP) measurement, the type of devices and accuracy in a large sample of hypertensive patients referred to hospital outpatient hypertension clinics. Methods. Eight hundred and fifty-five consecutive treated hypertensive patients who attended six specialized centers during a period of 4 months were included. They underwent the following procedures: (i) detailed medical interview by a structured questionnaire; (ii) physical examination; (iii) standard 12-lead electrocardiogram; (iv) BP measurements taken by a validated mercury sphygmomanometer and patient's devices. Results. A total of 640 (74.7%) of 855 patients were regularly performing home BP measurement. These patients were on average younger than those not practising it (58 vs 60 years, p
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The purpose of this study was to evaluate the prevalence of home blood pressure (BP) measurement, the type of devices and accuracy in a large sample of hypertensive patients referred to hospital outpatient hypertension clinics. Methods. Eight hundred and fifty-five consecutive treated hypertensive patients who attended six specialized centers during a period of 4 months were included. They underwent the following procedures: (i) detailed medical interview by a structured questionnaire; (ii) physical examination; (iii) standard 12-lead electrocardiogram; (iv) BP measurements taken by a validated mercury sphygmomanometer and patient's devices. Results. A total of 640 (74.7%) of 855 patients were regularly performing home BP measurement. These patients were on average younger than those not practising it (58 vs 60 years, p&lt;0.01); men were more numerous than women (58 vs 44%, p  =  0.03) and had higher educational level. Electronic arm-cuff instruments were the most frequently used devices (58%) followed by wrist devices (19%) and mercury or aneroid sphygmomanometers (23%). Significant correlations were found between BPs measured by validated mercury sphygmomanometers and patients' devices [r  =  0.85, p&lt;0.0001 for systolic BP (SBP) and r  =  0.78, p&lt;0.0001 for diastolic BP (DBP)]. Differences 5 mmHg in SBP or DBP were found in 50 and 60% of patients, respectively. Conclusions. Our findings indicate that: (i) home BP measurement is performed by a majority of treated hypertensives seen in specialized centers; (ii) male gender, age and educational level seem to influence the adoption of home BP monitoring; (iii) electronic arm-cuff devices are the most used instruments; (iv) a notable fraction of patient's devices do not meet the accuracy criteria recommended by US Association for the Advancement of Medical Instrumentation.</description><identifier>ISSN: 0803-7051</identifier><identifier>EISSN: 1651-1999</identifier><identifier>DOI: 10.1080/08037050500210765</identifier><identifier>PMID: 16126560</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Aged ; Blood Pressure Determination - instrumentation ; Blood Pressure Monitoring, Ambulatory - statistics &amp; numerical data ; Electrocardiography ; electronic arm and wrist devices ; Female ; Home BP measurement ; Humans ; hypertension ; Hypertension - diagnosis ; Italy - epidemiology ; Male ; Middle Aged ; Multicenter Studies as Topic ; Outpatient Clinics, Hospital - statistics &amp; numerical data ; Physical Examination ; Prevalence ; Surveys and Questionnaires</subject><ispartof>Blood pressure, 2005, Vol.14 (4), p.251-256</ispartof><rights>Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-12dc3bfbfec572d71c207fae6e45539b0ceeff980cf28534467288f25f8dda3e3</citedby><cites>FETCH-LOGICAL-c404t-12dc3bfbfec572d71c207fae6e45539b0ceeff980cf28534467288f25f8dda3e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16126560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cuspidi, Cesare</creatorcontrib><creatorcontrib>Meani, Stefano</creatorcontrib><creatorcontrib>Lonati, Laura</creatorcontrib><creatorcontrib>Fusi, Veronica</creatorcontrib><creatorcontrib>Magnaghi, Gaia</creatorcontrib><creatorcontrib>Garavelli, Guido</creatorcontrib><creatorcontrib>Palumbo, Gaetana</creatorcontrib><creatorcontrib>Pini, Claudio</creatorcontrib><creatorcontrib>Vaccarella, Alvaro</creatorcontrib><creatorcontrib>Parati, Gianfranco</creatorcontrib><creatorcontrib>Leonetti, Gastone</creatorcontrib><creatorcontrib>Zanchetti, Alberto</creatorcontrib><creatorcontrib>Lombardy Regional Section of the Italian Hypertension Society</creatorcontrib><title>Prevalence of home blood pressure measurement among selected hypertensive patients: Results of a multicenter survey from six hospital outpatient hypertension clinics in Italy</title><title>Blood pressure</title><addtitle>Blood Press</addtitle><description>Aim. The purpose of this study was to evaluate the prevalence of home blood pressure (BP) measurement, the type of devices and accuracy in a large sample of hypertensive patients referred to hospital outpatient hypertension clinics. Methods. Eight hundred and fifty-five consecutive treated hypertensive patients who attended six specialized centers during a period of 4 months were included. They underwent the following procedures: (i) detailed medical interview by a structured questionnaire; (ii) physical examination; (iii) standard 12-lead electrocardiogram; (iv) BP measurements taken by a validated mercury sphygmomanometer and patient's devices. Results. A total of 640 (74.7%) of 855 patients were regularly performing home BP measurement. These patients were on average younger than those not practising it (58 vs 60 years, p&lt;0.01); men were more numerous than women (58 vs 44%, p  =  0.03) and had higher educational level. 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The purpose of this study was to evaluate the prevalence of home blood pressure (BP) measurement, the type of devices and accuracy in a large sample of hypertensive patients referred to hospital outpatient hypertension clinics. Methods. Eight hundred and fifty-five consecutive treated hypertensive patients who attended six specialized centers during a period of 4 months were included. They underwent the following procedures: (i) detailed medical interview by a structured questionnaire; (ii) physical examination; (iii) standard 12-lead electrocardiogram; (iv) BP measurements taken by a validated mercury sphygmomanometer and patient's devices. Results. A total of 640 (74.7%) of 855 patients were regularly performing home BP measurement. These patients were on average younger than those not practising it (58 vs 60 years, p&lt;0.01); men were more numerous than women (58 vs 44%, p  =  0.03) and had higher educational level. Electronic arm-cuff instruments were the most frequently used devices (58%) followed by wrist devices (19%) and mercury or aneroid sphygmomanometers (23%). Significant correlations were found between BPs measured by validated mercury sphygmomanometers and patients' devices [r  =  0.85, p&lt;0.0001 for systolic BP (SBP) and r  =  0.78, p&lt;0.0001 for diastolic BP (DBP)]. Differences 5 mmHg in SBP or DBP were found in 50 and 60% of patients, respectively. Conclusions. Our findings indicate that: (i) home BP measurement is performed by a majority of treated hypertensives seen in specialized centers; (ii) male gender, age and educational level seem to influence the adoption of home BP monitoring; (iii) electronic arm-cuff devices are the most used instruments; (iv) a notable fraction of patient's devices do not meet the accuracy criteria recommended by US Association for the Advancement of Medical Instrumentation.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>16126560</pmid><doi>10.1080/08037050500210765</doi><tpages>6</tpages></addata></record>
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ispartof Blood pressure, 2005, Vol.14 (4), p.251-256
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1651-1999
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recordid cdi_informaworld_taylorfrancis_310_1080_08037050500210765
source EZB Electronic Journals Library
subjects Aged
Blood Pressure Determination - instrumentation
Blood Pressure Monitoring, Ambulatory - statistics & numerical data
Electrocardiography
electronic arm and wrist devices
Female
Home BP measurement
Humans
hypertension
Hypertension - diagnosis
Italy - epidemiology
Male
Middle Aged
Multicenter Studies as Topic
Outpatient Clinics, Hospital - statistics & numerical data
Physical Examination
Prevalence
Surveys and Questionnaires
title Prevalence of home blood pressure measurement among selected hypertensive patients: Results of a multicenter survey from six hospital outpatient hypertension clinics in Italy
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