Accuracy of Blood Pressure Measurements Reported in an Electronic Medical Record During Routine Primary Care Visits
作者： Paul A. Fishman , Melissa L. Anderson , Andrea J. Cook , James D. Ralston , Sheryl L. Catz
DOI: 10.1111/J.1751-7176.2011.00528.X
关键词: Medical record 、 Pediatrics 、 Population 、 Blood pressure 、 Primary care 、 Electronic medical record 、 Diastole 、 Randomized controlled trial 、 Internal medicine 、 Cohort 、 Medicine
摘要: Electronic medical records (EMRs) allow for real-time access to blood pressure (BP) information on a population basis and improve identification treatment of individuals with hypertension. Despite the potential uses data available from EMRs, relatively little research has examined reliability this data. To address gap, authors BP taken at primary care visits recorded in an EMR those study visit which standard protocols were used measure among all adults as well by sex age. Systolic (SBP) averaged 3.7 (17.3) points diastolic (DBP) was 2.8 (10.6) lower than across age groups, differences statistically significant. For cohort patients diagnosis hypertension, there moderate correlation between measurements clinic research. However, control individuals, defined SBP <140 mm Hg DBP 90 Hg, differed almost 25%. Known variability procedures measuring recording may account these differences.
elsevier.com
sci-hub.se 参考文章(31)
J. Martin Bland, Douglas G. Altman, Agreement Between Methods of Measurement with Multiple Observations Per Individual Journal of Biopharmaceutical Statistics. ,vol. 17, pp. 571- 582 ,(2007) , 10.1080/10543400701329422
L. E. Kay, Accuracy of Blood Pressure Measurement in the Family Practice Center Journal of The American Board of Family Practice. ,vol. 11, pp. 252- 258 ,(1998) , 10.3122/JABFM.11.4.252
D. G. Altman, J. M. Bland, Measurement in Medicine: The Analysis of Method Comparison Studies The Statistician. ,vol. 32, pp. 307- 317 ,(1983) , 10.2307/2987937
Benjamin J. Powers, Maren K. Olsen, Valerie A. Smith, Robert F. Woolson, Hayden B. Bosworth, Eugene Z. Oddone, Measuring blood pressure for decision making and quality reporting: where and how many measures? Annals of Internal Medicine. ,vol. 154, pp. 781- 788 ,(2011) , 10.7326/0003-4819-154-12-201106210-00005
Y Wan, C Heneghan, R Stevens, R J McManus, A Ward, R Perera, M Thompson, L Tarassenko, D Mant, Determining which automatic digital blood pressure device performs adequately: a systematic review Journal of Human Hypertension. ,vol. 24, pp. 431- 438 ,(2010) , 10.1038/JHH.2010.37
Martin G. Myers, Marshall Godwin, Martin Dawes, Alexander Kiss, Sheldon W. Tobe, Janusz Kaczorowski, Measurement of Blood Pressure in the Office. Recognizing the Problem and Proposing the Solution Hypertension. ,vol. 55, pp. 195- 200 ,(2010) , 10.1161/HYPERTENSIONAHA.109.141879
F. Rabbia, D. Naso, E. Testa, S. Del Colle, F. Veglio, Accuracy of the blood pressure measurement. Minerva Cardioangiologica. ,vol. 54, pp. 399- 416 ,(2006)
Lemmer B, Middeke M, Office hypertension: abnormal blood pressure regulation and increased sympathetic activity compared with normotension. Blood Pressure Monitoring. ,vol. 1, pp. 403- 407 ,(1996)
Rowland M, Beckett Ah, Turner P, AKUFO AND IBARAPA. The Lancet. ,vol. 1, pp. 307- ,(1965)
Thomas G. Pickering, John E. Hall, Lawrence J. Appel, Bonita E. Falkner, John Graves, Martha N. Hill, Daniel W. Jones, Theodore Kurtz, Sheldon G. Sheps, Edward J. Roccella, Recommendations for Blood Pressure Measurement in Humans and Experimental Animals Circulation. ,vol. 111, pp. 697- 716 ,(2005) , 10.1161/01.CIR.0000154900.76284.F6