Automated office blood pressure measurement: a Hypertension Australia and National Hypertension Taskforce of Australia position statement.

IF 4.1 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE
Journal of Hypertension Pub Date : 2025-09-01 Epub Date: 2025-06-18 DOI:10.1097/HJH.0000000000004079
James E Sharman, Aletta E Schutte, Mark R Nelson, Ania L Samarawickrama, Nigel Stocks, Charlotte M Hespe, Tim Usherwood, Michael Stowasser, Anthony Rodgers, Natalie C Ward, Elizabeth Halcomb, Sharon James, Garry Jennings, Markus P Schlaich
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引用次数: 0

Abstract

Hypertension is the most common problem managed in Australian general practice, yet most adults with hypertension do not have their blood pressure (BP) treated to target. Hypertension diagnosis and management rely upon accurate BP measurements performed using a standardised protocol. However, health system barriers prevent doctors from following measurement protocols, leading to inaccurate BP assessments. A practical BP measurement protocol that can be widely implemented is urgently warranted. Automated office BP (AOBP) is the recommended measurement standard for the diagnosis and management of hypertension. AOBP involves using a validated automated upper-arm cuff BP device programmed to record multiple BP readings at set intervals starting after a rest period. It is done by a trained operator using a standardised protocol in a quiet setting with the correct patient setup, no distractions, and in the absence of a doctor. The device automatically calculates the average of the AOBP recordings and this is comparable to the 24-h ambulatory BP daytime mean. The hypertension threshold based on AOBP is 135/85 mmHg. AOBP can also be applied in other community settings (e.g. pharmacies), provided all the above criteria are met along with communication of results to the person's usual general practitioner. In Australia, nation-wide systematic implementation of evidence based AOBP measurement is strongly recommended. This standardised approach will support healthcare professionals, especially general practitioners, in obtaining high-quality BP values with increasing confidence in clinical decision-making. Policy and practice changes, to address barriers and provide enabling mechanisms for sustained implementation of AOBP, are required.

自动化办公室血压测量:澳大利亚高血压协会和澳大利亚国家高血压工作组的立场声明。
高血压是澳大利亚全科医疗中最常见的问题,但大多数高血压患者没有将血压控制在目标水平。高血压的诊断和管理依赖于使用标准化方案进行的准确血压测量。然而,卫生系统的障碍阻止医生遵循测量方案,导致不准确的血压评估。一个实用的血压测量方案,可以广泛实施是迫切需要的。自动办公室血压(AOBP)是高血压诊断和治疗的推荐测量标准。AOBP包括使用经过验证的自动上臂袖带血压装置,该装置可在休息一段时间后以设定的间隔记录多个血压读数。它是由训练有素的操作员在安静的环境中使用标准化的协议,在正确的患者设置下完成的,没有干扰,没有医生。该设备自动计算AOBP记录的平均值,这与24小时日间动态BP平均值相当。基于AOBP的高血压阈值为135/85 mmHg。aoobp也可以应用于其他社区环境(例如药房),前提是满足上述所有标准,并将结果告知患者通常的全科医生。在澳大利亚,强烈建议在全国范围内系统地实施基于证据的AOBP测量。这种标准化的方法将支持医疗保健专业人员,特别是全科医生,获得高质量的血压值,增加临床决策的信心。需要改变政策和做法,以消除障碍,并为持续实施AOBP提供有利机制。
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
Journal of Hypertension
Journal of Hypertension 医学-外周血管病
CiteScore
7.90
自引率
6.10%
发文量
1389
审稿时长
3 months
期刊介绍: The Journal of Hypertension publishes papers reporting original clinical and experimental research which are of a high standard and which contribute to the advancement of knowledge in the field of hypertension. The Journal publishes full papers, reviews or editorials (normally by invitation), and correspondence.
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