Could self-measured office blood pressure be a hypertension screening tool for limited-resources settings?

Blood pressure (BP) was assessed by patients themselves in recently published trials. Self-measured office blood pressure (SMOBP) seems particularly interesting for limited health resources regions. The aim of our study was to evaluate the relationship between SMOBP values and those estimated by amb...

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Bibliographic Details
Published in:Journal of human hypertension 2018-06, Vol.32 (6), p.415-422
Main Authors: Salazar, Martin R., Espeche, Walter G., Stavile, Rodolfo N., Balbín, Eduardo, Leiva Sisnieguez, Betty C., Leiva Sisnieguez, Carlos E., March, Carlos E., Cor, Susana, Eugenio Acero, Irma, Carbajal, Horacio A.
Format: Article
Language:English
Subjects:
692/499
692/699/75/243
Blood pressure
Clinical trials
Daytime
Diagnosis
Epidemiology
Equipment and supplies
Health Administration
Hypertension
Measurement
Medicine
Medicine & Public Health
Methods
Public Health
Self-examination, Medical
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Summary:Blood pressure (BP) was assessed by patients themselves in recently published trials. Self-measured office blood pressure (SMOBP) seems particularly interesting for limited health resources regions. The aim of our study was to evaluate the relationship between SMOBP values and those estimated by ambulatory blood pressure monitoring (ABPM). Six hundred seventy-seven patients were evaluated using both, SMOBP and ABPM. The differences between SMOBP and daytime ABPM were evaluated with paired “ t ” test. The correlations among SMOBP and ABPM were estimated using Pearson’s r . The accuracy of SMOBP to identify abnormal ABPM was determined using area under ROC curve (AUC). Sensitivity, specificity, and positive and negative predictive values were calculated for different SMOBP cut-points. Using the average of three readings, systolic SMOBP was higher (3.7 (14.2) mmHg, p  
ISSN:0950-9240
1476-5527
DOI:10.1038/s41371-018-0057-y