Document Detail

Patient self-monitoring of blood pressure in general practice: the 'inverse white-coat' response.
MedLine Citation:
PMID:  14694700     Owner:  NLM     Status:  MEDLINE    
Self-monitoring of blood pressure may give a truer estimate of usual blood pressure than readings by a doctor in the surgery, and may save time for health professionals. This study aimed to determine the accuracy of self-monitoring in the surgery using a wrist oscillometric sphygmomanometer (Omron RX). One hundred and seventy-three patients were taught to record their own blood pressure with the Omron RX. One hundred and nineteen patients recorded three self-measurements at monthly intervals, and their readings were compared with those of an experienced nurse using the Omron RX and a mercury sphygmomanometer. On average, patients' readings were higher than the nurse's readings (mean difference in phase 1 = systolic pressure 4.7 +/- 13.1 mmHg, diastolic pressure 2.7 +/- 9.3 mmHg [both P < 0.001]). Only half of the patients' readings were within 10 mmHg systolic and 5 mmHg diastolic of the nurse's readings. The readings by the nurse using both devices did not differ.
Sue M Turnbull; Sean P Magennis; Chris J Turnbull
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of general practice : the journal of the Royal College of General Practitioners     Volume:  53     ISSN:  0960-1643     ISO Abbreviation:  Br J Gen Pract     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-12-25     Completed Date:  2004-03-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9005323     Medline TA:  Br J Gen Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  221-3     Citation Subset:  IM    
Manor Health Centre, Liscard Village, Liscard, Wallasey CH45 4JG.
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MeSH Terms
Blood Pressure Determination* / standards
Family Practice / instrumentation,  standards*
Hypertension / diagnosis*
Middle Aged
Office Visits
Reproducibility of Results
Self Care / methods,  standards
Sensitivity and Specificity
Sphygmomanometers / standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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