POSSIBILITIES OF INCORRECT BLOOD PRESSURE MEASURING – COMPARISON TRIAL OF VALUES MEASURED WITH DIFFERENT TOOLS

Author(s)

Őszné Vörös T1, Pakai A2, Szunomár S1, Müller Á1, Szabó L1, Boncz I1, Fusz K1, Oláh A1
1University of Pécs, Pécs, Hungary, 2University of Pécs, Zalaegerszeg, Hungary

OBJECTIVES: Hypertension is endemic in Hungary today. Incorrect measuring tool of blood pressure can be responsible for hypertonia diagnosed improperly. Our goal was to examine differences between values measured with different tools. METHODS: Our survey was a quantitative, cross-sectional study in the Kaposi Mór Teaching Hospital Outpatient care unit, Somogy County, Hungary in 2016. Non-randomized, purposive sampling was used to enroll patients between 18-85 years of age. (N=201). Exclusion criteria were: pregnancy, injured, amputated, paralyzed, fractured arm, having lymphoedema, contracture, chimino fistule, midline iv. catheter or other that can hinder correct measuring on the upper arm. We used mercurial, aneroid, oscillometric, patient-monitor attached blood pressure meters. Descriptive and mathematical statistics (t-test, chi-square test, ANOVA) were made on MS Excel software (p<0.05) RESULTS:  ANOVA statistics approved significant difference between systolic and diastolic parameters measured by different tools.(p<0.05) Post-hoc analysis showed significant difference between systolic values measured by mercurial and monitor-attached, and aneroid and monitor-attached oscillometric measuring (p<0.05). From the aspect of the diastolic values, we found significant differences between mercurial and monitor/oscillometric device. There is also a significant difference between the aneroid and monitor/oscillometric measuring. (p<0.05) CONCLUSIONS: We can consider mercurial and aneroid blood pressure meters accurate, the monitor- and oscillometric devices recorded higher blood pressure rates. It is important – especially in patients with hypertension – to control the blood pressure with validated measurement tools in the everyday practice.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PCV117

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Health Care Research

Disease

Cardiovascular Disorders

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