From BpTRU to OMRON: The impact of changing automated blood pressure measurement devices on adult population estimates of blood pressure and hypertension.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tracey Bushnik, Heather Gilmour, Vincent Mak, Anne Mather
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引用次数: 0

Abstract

Background: In Cycle 7 (2022), the Canadian Health Measures Survey (CHMS) introduced the OMRON (OM) IntelliSense HEM-907XL blood pressure (BP) monitor after using the BpTRU (BT) BPM-300 BP monitor for six cycles. This study assessed differences between adult BP values measured by both devices and whether equations could be developed to compare BP measurements taken using the two devices.

Data and methods: In Cycle 6 (2018 to 2019) of the CHMS, BP was measured using BT and OM devices. Between-device estimates of systolic BP (SBP), diastolic BP (DBP), and hypertension prevalence were compared for 1,072 adults aged 18 to 79 years. Sex, age, body mass index (BMI), and the use of antihypertensive medication were examined in linear regression models to predict SBP and DBP values measured with OM based on those measured with BT.

Results: Average SBP measured with OM was 6 millimetres of mercury (mmHg) higher than average SBP measured with BT, and average DBP measured with OM was 2 mmHg lower than DBP measured with BT. Hypertension prevalence based on OM readings was 35.4%, compared with 34.0% based on BT readings. Between-device BP differences varied in magnitude by sex, age group, and BMI category. Average model-predicted estimates of BP were comparable to measured estimates, but predicted values were lower at higher levels of BP.

Interpretation: Switching BP monitors will substantively affect population estimates of adult SBP and DBP but may have less impact on estimates of adult hypertension prevalence. The prediction equations proposed in this study can be applied to adult BP data from cycles 1 to 6 of the CHMS for comparison with BP measurements taken in Cycle 7, with some caveats. The impact of changing to the OM monitor in Cycle 7 should be acknowledged when reporting estimates of adult BP based on the CHMS.

从 BpTRU 到 OMRON:自动血压测量设备的变化对成年人口血压和高血压估计值的影响。
背景:在使用 BpTRU (BT) BPM-300 血压计六个周期后,加拿大健康测量调查(CHMS)在第七周期(2022 年)引入了 OMRON (OM) IntelliSense HEM-907XL 血压计。本研究评估了两种设备测得的成人血压值之间的差异,以及是否可以建立方程来比较使用两种设备测得的血压值:在 CHMS 的第 6 个周期(2018 年至 2019 年)中,使用 BT 和 OM 设备测量了血压。比较了 1072 名 18 至 79 岁成人的收缩压 (SBP)、舒张压 (DBP) 和高血压患病率的设备间估计值。在线性回归模型中对性别、年龄、体重指数(BMI)和使用降压药的情况进行了研究,以根据使用 BT 测量的 SBP 和 DBP 值预测使用 OM 测量的 SBP 和 DBP 值:结果:用 OM 测得的平均 SBP 比用 BT 测得的平均 SBP 高 6 毫米汞柱(mmHg),用 OM 测得的平均 DBP 比用 BT 测得的 DBP 低 2 毫米汞柱。基于 OM 读数的高血压患病率为 35.4%,而基于 BT 读数的患病率为 34.0%。不同性别、年龄组和体重指数类别的设备间血压差异程度不同。模型预测的血压平均值与测量值相当,但血压水平越高,预测值越低:转换血压监测仪将对成人 SBP 和 DBP 的人口估计值产生实质性影响,但对成人高血压患病率估计值的影响可能较小。本研究提出的预测方程可应用于 CHMS 第 1 至第 6 周期的成人血压数据,以便与第 7 周期的血压测量结果进行比较,但需注意一些问题。在报告基于 CHMS 的成人血压估计值时,应考虑到在第 7 周期改用 OM 监测器的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Reports
Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
4.00%
发文量
28
期刊介绍: Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.
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