Quantitative Assessment of Blood Pressure Measurement Accuracy and Variability from Visual Auscultation Method by Observers without Receiving Medical Training.

This study aimed to quantify blood pressure (BP) measurement accuracy and variability with different techniques. Thirty video clips of BP recordings from the BHS training database were converted to Korotkoff sound waveforms. Ten observers without receiving medical training were asked to determine BP...

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Publicado en:BioMed Research International Vol. 2017; pp. 1 - 9
Autores principales: Chen, Wenai, Chen, Fei, Feng, Yong, Chen, Aiqing, Zheng, Dingchang
Formato: pictorial protocol research tables/charts tracings Journal Article
Publicado: Wiley-Blackwell 12/20/2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/20/2017
      vid: 2017
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2017/3537079
        126875133
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        atl: Quantitative Assessment of Blood Pressure Measurement Accuracy and Variability from Visual Auscultation Method by Observers without Receiving Medical Training.
      aug:
        au:
          Chen, Wenai
          Chen, Fei
          Feng, Yong
          Chen, Aiqing
          Zheng, Dingchang
        affil: Department of Cardiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China
      sug:
        subj:
          Blood Pressure Determination
          Auscultation Methods
          Observer Bias
          Human
          Quantitative Studies
          Systolic Pressure
          Diastolic Pressure
          Measurement Error
          Data Analysis, Statistical
          Validity
      ab: This study aimed to quantify blood pressure (BP) measurement accuracy and variability with different techniques. Thirty video clips of BP recordings from the BHS training database were converted to Korotkoff sound waveforms. Ten observers without receiving medical training were asked to determine BPs using (a) traditional manual auscultatory method and (b) visual auscultation method by visualizing the Korotkoff sound waveform, which was repeated three times on different days. The measurement error was calculated against the reference answers, and the measurement variability was calculated from the SD of the three repeats. Statistical analysis showed that, in comparison with the auscultatory method, visual method significantly reduced overall variability from 2.2 to 1.1 mmHg for SBP and from 1.9 to 0.9 mmHg for DBP (both p<0.001). It also showed that BP measurement errors were significant for both techniques (all p<0.01, except DBP from the traditional method). Although significant, the overall mean errors were small (−1.5 and −1.2 mmHg for SBP and −0.7 and 2.6 mmHg for DBP, resp., from the traditional auscultatory and visual auscultation methods). In conclusion, the visual auscultation method had the ability to achieve an acceptable degree of BP measurement accuracy, with smaller variability in comparison with the traditional auscultatory method.
      pubtype: Academic Journal
      doctype:
        pictorial
        protocol
        research
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      ougenre: Article
    language: English
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