Abstract

META-ANALYSIS: AUTOMATED OFFICE BLOOD PRESSURE READINGS VERSUS ROUTINE METHOD OF BLOOD PRESSURE MEASUREMENT FOR IDENTIFYING HYPERTENSIVE PATIENTS

Walla Sadiq Alhassa*, Sefana Abdulhaleem Abdulmajeid, Mohammad Abdulrahman Almashan, Sohaib Wadie Alwafi, Hadeel Abdulaziz Alharbi, Shrooq Khalid Maddah, Shaikah Nasser Almudhee, Fahad Abdulaziz Alharbi, Fatimah Sameer Albagshi, Mohammed Saad Alamri

Abstract

Background & Purpose: Automated office BP (AOBP) measurement, was that conversation among the patient and office staff became no longer possible due to the patient was alone, as talking was known to be a prime cause of the white coat effect. Additionally, removing clinic staff likely reduces any anxiety caused by the presence of nurses or physicians. Automated office BP measurement may also be obtained if the readings are recorded with the patient sitting alone within the waiting region of the physician’s office or in a community pharmacy, provided that office or pharmacy staff aren't interacting with the patient. The Aim of this work is to provide cumulative data about the efficacy of Automated Office Blood Pressure (AOBP) readings versus routine method of blood pressure measurement for identifying hypertensive (HTN) patients. Methods: A systematic search was performed of PubMed, Cochrane library Ovid, Scopus & Google scholar to identify Family medicine RCTs, clinical trials, and comparative studies, which studied the outcome of AOBP group versus Routine BP group of HTN patients. A meta-analysis was done using fixed and random-effect methods. The primary outcomes were pooled mean differences of systolic and diastolic BP (SBP and DBP), between types of BP measurements. Results: A total of 5 studies were identified involving 1362 patients. Regarding primary outcome measures, the random-effects model of the meta-analysis study showed highly significant decrease in mean SBP in AOBP group compared to Routine BP group (p < 0.01). The random-effects model of the meta-analysis study showed highly significant decrease in mean DBP in AOBP group compared to Routine BP group (p < 0.01). Conclusion: To conclude, our study proved that AOBP (Automated Office Blood Pressure) considered standard measurement for blood pressure in patients with HTN with decrease in SBP and DBP in comparison with routine methods.

Keywords: Automated office blood pressure, routine method, HTN.