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Challenges in standardization of blood pressure measurement at the population level

Overview of attention for article published in BMC Medical Research Methodology, April 2015
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Title
Challenges in standardization of blood pressure measurement at the population level
Published in
BMC Medical Research Methodology, April 2015
DOI 10.1186/s12874-015-0020-3
Pubmed ID
Authors

Hanna Tolonen, Päivikki Koponen, Androniki Naska, Satu Männistö, Grazyna Broda, Tarja Palosaari, Kari Kuulasmaa

Abstract

Accurate blood pressure measurements are needed in clinical practice, intervention studies and health examination surveys. Blood pressure measurements are sensitive: their accuracy can be affected by measurement environment, behaviour of the subject, measurement procedures, devices used for the measurement and the observer. To minimize errors in blood pressure measurement, a standardized measurement protocol is needed. The European Health Examination Survey (EHES) Pilot project was conducted in 2009-2012. A pilot health examination survey was conducted in 12 countries using a standardized protocol. The measurement protocols used in each survey, training provided for the measurers, measurement data, and observations during site visits were collected and evaluated to assess the level of standardization. The EHES measurement protocol for blood pressure was followed accurately in all 12 pilot surveys. Most of the surveys succeeded in organizing a quiet and comfortable measurement environment, and staff instructed survey participants appropriately before examination visits. In all surveys, blood pressure was measured three times, from the right arm in a sitting posture. The biggest variation was in the device used for the blood pressure measurement. It is possible to reach a high level of standardization for blood pressure measurements across countries and over time. A detailed, standardized measurement protocol, and adequate training and monitoring during the fieldwork and centrally organized quality assessment of the data are needed. The recent EU regulation banning the sale of mercury sphygmomanometer in European Union Member States has set new challenges for the standardization of measurement devices since the validity of oscillometric measurements is device-specific and performance of aneroid devices depends very much on calibration.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 64 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 2%
Unknown 63 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 10 16%
Researcher 9 14%
Student > Master 9 14%
Student > Doctoral Student 9 14%
Student > Bachelor 7 11%
Other 15 23%
Unknown 5 8%
Readers by discipline Count As %
Medicine and Dentistry 13 20%
Nursing and Health Professions 12 19%
Sports and Recreations 6 9%
Agricultural and Biological Sciences 5 8%
Engineering 5 8%
Other 13 20%
Unknown 10 16%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 September 2017.
All research outputs
#8,997,448
of 11,717,557 outputs
Outputs from BMC Medical Research Methodology
#791
of 997 outputs
Outputs of similar age
#140,464
of 214,035 outputs
Outputs of similar age from BMC Medical Research Methodology
#17
of 22 outputs
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