Accuracy of blood pressure monitors owned by patients with hypertension (ACCU-RATE study)

Research output: Contribution to journalArticle

Standard

Accuracy of blood pressure monitors owned by patients with hypertension (ACCU-RATE study). / Hodgkinson, James; Lee, Mei-Man ; Milner, Siobhan; Bradburn, Peter; Stevens, Richard; Hobbs, F D Richard; Koshiaris, Constantinos; Grant, Sabrina; Mant, Jonathan; McManus, Richard J.

In: British Journal of General Practice , 07.02.2020.

Research output: Contribution to journalArticle

Harvard

Hodgkinson, J, Lee, M-M, Milner, S, Bradburn, P, Stevens, R, Hobbs, FDR, Koshiaris, C, Grant, S, Mant, J & McManus, RJ 2020, 'Accuracy of blood pressure monitors owned by patients with hypertension (ACCU-RATE study)', British Journal of General Practice .

APA

Hodgkinson, J., Lee, M-M., Milner, S., Bradburn, P., Stevens, R., Hobbs, F. D. R., Koshiaris, C., Grant, S., Mant, J., & McManus, R. J. (Accepted/In press). Accuracy of blood pressure monitors owned by patients with hypertension (ACCU-RATE study). British Journal of General Practice .

Vancouver

Author

Hodgkinson, James ; Lee, Mei-Man ; Milner, Siobhan ; Bradburn, Peter ; Stevens, Richard ; Hobbs, F D Richard ; Koshiaris, Constantinos ; Grant, Sabrina ; Mant, Jonathan ; McManus, Richard J. / Accuracy of blood pressure monitors owned by patients with hypertension (ACCU-RATE study). In: British Journal of General Practice . 2020.

Bibtex

@article{85fa50bf5f4c47c186d54c7b1dd49289,
title = "Accuracy of blood pressure monitors owned by patients with hypertension (ACCU-RATE study)",
abstract = "Background Home blood pressure (BP) monitoring is recommended in guidelines and increasingly popular with patients and health care professionals, but the accuracy of patients{\textquoteright} own monitors in real world use is not known.Aim To assess the accuracy of home BP monitors used by people with hypertension, and investigate factors affecting accuracy.Design and Setting Patients on the hypertension register at seven practices in central England were surveyed to ascertain if they owned a monitor and wanted it tested.Method Monitor accuracy was compared to a calibrated reference device, at 50 mmHg intervals between 0-280/300 mmHg (static pressure test), with a difference from the reference monitor of +/-3 mmHg at any interval considered a failure. Cuff performance was also assessed. Results were analysed by usage rates, length of time in service, make and model, monitor validation status, cost, and any previous testing.Results 251 (76%, 95% CI 71-80%) of 331 tested devices passed all tests (monitors and cuffs) and 86% passed the static pressure test, deficiencies primarily due to overestimation. 40% of testable monitors were unvalidated. Pass rate on the static pressure test was greater in validated monitors (96% [95% CI 94-98%] vs 64% [95% CI 58-69%]), those retailing for over £10, and those in use for less than four years.12% of cuffs failed.ConclusionPage 3 of 21https://mc04.manuscriptcentral.com/bjgpBritish Journal of General PracticeFor Review OnlyPatients{\textquoteright} own BP monitor failure rate was similar to that in studies performed in professional settings, though cuff failure was more frequent. Clinicians can be confident of the accuracy of patients{\textquoteright} own BP monitors, if validated and less than five years old. Keywords: primary health care, hypertension, blood pressure monitors, calibration, accuracy.",
keywords = "primary health care, hypertension, blood pressure monitors, calibration, accuracy",
author = "James Hodgkinson and Mei-Man Lee and Siobhan Milner and Peter Bradburn and Richard Stevens and Hobbs, {F D Richard} and Constantinos Koshiaris and Sabrina Grant and Jonathan Mant and McManus, {Richard J}",
year = "2020",
month = feb
day = "7",
language = "English",
journal = "British Journal of General Practice ",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",

}

RIS

TY - JOUR

T1 - Accuracy of blood pressure monitors owned by patients with hypertension (ACCU-RATE study)

AU - Hodgkinson, James

AU - Lee, Mei-Man

AU - Milner, Siobhan

AU - Bradburn, Peter

AU - Stevens, Richard

AU - Hobbs, F D Richard

AU - Koshiaris, Constantinos

AU - Grant, Sabrina

AU - Mant, Jonathan

AU - McManus, Richard J

PY - 2020/2/7

Y1 - 2020/2/7

N2 - Background Home blood pressure (BP) monitoring is recommended in guidelines and increasingly popular with patients and health care professionals, but the accuracy of patients’ own monitors in real world use is not known.Aim To assess the accuracy of home BP monitors used by people with hypertension, and investigate factors affecting accuracy.Design and Setting Patients on the hypertension register at seven practices in central England were surveyed to ascertain if they owned a monitor and wanted it tested.Method Monitor accuracy was compared to a calibrated reference device, at 50 mmHg intervals between 0-280/300 mmHg (static pressure test), with a difference from the reference monitor of +/-3 mmHg at any interval considered a failure. Cuff performance was also assessed. Results were analysed by usage rates, length of time in service, make and model, monitor validation status, cost, and any previous testing.Results 251 (76%, 95% CI 71-80%) of 331 tested devices passed all tests (monitors and cuffs) and 86% passed the static pressure test, deficiencies primarily due to overestimation. 40% of testable monitors were unvalidated. Pass rate on the static pressure test was greater in validated monitors (96% [95% CI 94-98%] vs 64% [95% CI 58-69%]), those retailing for over £10, and those in use for less than four years.12% of cuffs failed.ConclusionPage 3 of 21https://mc04.manuscriptcentral.com/bjgpBritish Journal of General PracticeFor Review OnlyPatients’ own BP monitor failure rate was similar to that in studies performed in professional settings, though cuff failure was more frequent. Clinicians can be confident of the accuracy of patients’ own BP monitors, if validated and less than five years old. Keywords: primary health care, hypertension, blood pressure monitors, calibration, accuracy.

AB - Background Home blood pressure (BP) monitoring is recommended in guidelines and increasingly popular with patients and health care professionals, but the accuracy of patients’ own monitors in real world use is not known.Aim To assess the accuracy of home BP monitors used by people with hypertension, and investigate factors affecting accuracy.Design and Setting Patients on the hypertension register at seven practices in central England were surveyed to ascertain if they owned a monitor and wanted it tested.Method Monitor accuracy was compared to a calibrated reference device, at 50 mmHg intervals between 0-280/300 mmHg (static pressure test), with a difference from the reference monitor of +/-3 mmHg at any interval considered a failure. Cuff performance was also assessed. Results were analysed by usage rates, length of time in service, make and model, monitor validation status, cost, and any previous testing.Results 251 (76%, 95% CI 71-80%) of 331 tested devices passed all tests (monitors and cuffs) and 86% passed the static pressure test, deficiencies primarily due to overestimation. 40% of testable monitors were unvalidated. Pass rate on the static pressure test was greater in validated monitors (96% [95% CI 94-98%] vs 64% [95% CI 58-69%]), those retailing for over £10, and those in use for less than four years.12% of cuffs failed.ConclusionPage 3 of 21https://mc04.manuscriptcentral.com/bjgpBritish Journal of General PracticeFor Review OnlyPatients’ own BP monitor failure rate was similar to that in studies performed in professional settings, though cuff failure was more frequent. Clinicians can be confident of the accuracy of patients’ own BP monitors, if validated and less than five years old. Keywords: primary health care, hypertension, blood pressure monitors, calibration, accuracy.

KW - primary health care

KW - hypertension

KW - blood pressure monitors

KW - calibration

KW - accuracy

M3 - Article

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

ER -